Provider Demographics
NPI:1427125087
Name:CABATAN & ASSOCIATES LLC
Entity type:Organization
Organization Name:CABATAN & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CABATAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-782-9991
Mailing Address - Street 1:306 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-2162
Mailing Address - Country:US
Mailing Address - Phone:419-782-9991
Mailing Address - Fax:419-782-9994
Practice Address - Street 1:306 CLINTON ST
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-2162
Practice Address - Country:US
Practice Address - Phone:419-782-9991
Practice Address - Fax:419-782-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2289101YP2500X
OHI 14901041C0700X
OH35-07-9199-C2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCA9366171Medicare PIN