Provider Demographics
NPI:1558700328
Name:RESCHKE, COLE (DC)
Entity Type:Individual
Prefix:DR
First Name:COLE
Middle Name:
Last Name:RESCHKE
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 1:1784 E COMMONWEALTH AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-4814
Mailing Address - Country:US
Mailing Address - Phone:657-234-0311
Mailing Address - Fax:
Practice Address - Street 1:2211 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-4108
Practice Address - Country:US
Practice Address - Phone:714-774-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8322111N00000X
CA32891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor