Individual
DR. CHRISTINA M CABOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 336-1690
(812) 349-1325
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1325
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01061915A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106195A
INDIANA PHYSICIAN LICENSE
IN
01
—
BC9374505
CONTROLLED SUBSTANCE
—
Enumeration date
05/10/2006
Last updated
02/01/2021
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