Club Manor Clinic, Inc. in Pueblo - Chiropractor
Club Manor Clinic, Inc. - NPI 1275662298
Club Manor Clinic, Inc. is a Chiropractor in Pueblo, Colorado. Club Manor Clinic, Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Club Manor Clinic, Inc. is 1275662298. The last update date is 2008-11-24.
Club Manor Clinic, Inc.'s current location address is 1805 Fortino Blvd, Pueblo, Colorado. You can contact this provider via phone number 7195447744 and fax number 7195842853. The mailing address for Club Manor Clinic, Inc. is 1805 Fortino Blvd, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Club Manor Clinic, Inc. |
|---|---|
| Address | 1805 Fortino Blvd, Pueblo, Colorado |
| Phone Number | 7195447744 |
| Fax Number | 7195842853 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Busch Douglas John |
| Credentials | D.C. |
| Telephone Number | 7195447744 |
NPI Number Detail
| NPI Number | 1275662298 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2008-11-24 |
Provider Mailing Address Detail
| Address | 1805 Fortino Blvd |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810081851 |
| Phone Number | 7195447744 |
| Fax Number | 7195842853 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5101 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Club Manor Clinic, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Club Manor Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1275662298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Club Manor Clinic, Inc. located?
The Club Manor Clinic, Inc. is located at 1805 Fortino Blvd, Pueblo, CO 810081851.
What is Club Manor Clinic, Inc.'s area of expertise and its corresponding taxonomy classification?
The Club Manor Clinic, Inc.'s field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1275662298 assigned to Club Manor Clinic, Inc.?
The Club Manor Clinic, Inc. was issued its 1275662298 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Club Manor Clinic, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Club Manor Clinic, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-11-24.