Provider Demographics
NPI:1083837967
Name:RESCO CHIROPRACTIC CLINIC, P.A.
Entity Type:Organization
Organization Name:RESCO CHIROPRACTIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLIN
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:RESCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-446-3743
Mailing Address - Street 1:320 WASHINGTON STR.
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:KS
Mailing Address - Zip Code:66938
Mailing Address - Country:US
Mailing Address - Phone:785-446-3743
Mailing Address - Fax:
Practice Address - Street 1:320 WASHINGTON STR.
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:KS
Practice Address - Zip Code:66938
Practice Address - Country:US
Practice Address - Phone:785-446-3743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660066OtherBCBS GROUP NUMBER
KS660066OtherBCBS GROUP NUMBER