Provider Demographics
NPI:1003401860
Name:ANUSBIGIAN, COLE (DC)
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:
Last Name:ANUSBIGIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-2811
Mailing Address - Country:US
Mailing Address - Phone:734-716-8149
Mailing Address - Fax:
Practice Address - Street 1:200 W AVON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2702
Practice Address - Country:US
Practice Address - Phone:248-841-9857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008350111N00000X
MI2301401506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor