Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0008350 | CO |
NPI | 1003401860 |
---|---|
Provider Name | Cole Anusbigian |
First Address | Parker, CO 80134-9524 |
Second Address | Falcon, CO 80831-8238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |