Provider Demographics
NPI:1669637617
Name:LOUIS C CABILING MD PC
Entity Type:Organization
Organization Name:LOUIS C CABILING MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:CABILING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-671-0979
Mailing Address - Street 1:635 DITTMER AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-1211
Mailing Address - Country:US
Mailing Address - Phone:719-671-0979
Mailing Address - Fax:719-637-2539
Practice Address - Street 1:635 DITTMER AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-1211
Practice Address - Country:US
Practice Address - Phone:719-671-0979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01223486Medicaid
COC492938Medicare PIN