Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 22348 | CO |
NPI | 1003809286 |
---|---|
Provider Name | Louis C Cabiling |
First Address | Pueblo, CO 81005-1211 |
Second Address | Pueblo, CO 81005-1211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01223486 | (05) | CO |
D24083 | (02) | CO |