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CLUB MANOR CLINIC, INC.
NPI 1275662298
Chiropractor in Pueblo, CO

Active since March 05, 2007
1805 FORTINO BLVD, PUEBLO, CO 81008(719) 544-7744(719) 584-2853 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Club Manor Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLUB MANOR CLINIC, INC. (NPI 1275662298) is a healthcare organization registered as a chiropractor in Pueblo, Colorado and active in the NPI registry since March 2007. The organization lists John Douglas Busch, President, as its authorized official.

NPPES Registry Identity

NPI1275662298
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLUB MANOR CLINIC, INC.
Location Address1805 FORTINO BLVDPueblo, CO 81008-1851
Mailing Address1805 Fortino BlvdPueblo, CO 81008-1851 · (719) 544-7744 · Fax (719) 584-2853
Phone(719) 544-7744
Fax(719) 584-2853
Organization SubpartNo
Authorized OfficialJohn Douglas BuschPresident · (719) 544-7744
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 24, 2008
✔ NPI 1275662298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · 5101
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 interrelationship with other body systems.
1805 FORTINO BLVD, Pueblo, CO 81008
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Other Identifiers 1

Medicare ID-Type Unspecified506658CO · Club Manor Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Club Manor Clinic, Inc.'s NPI number?

The NPI number for Club Manor Clinic, Inc. is 1275662298. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Club Manor Clinic, Inc. located?

Club Manor Clinic, Inc. is located at 1805 Fortino Blvd, Pueblo, CO 81008. The listed phone number is (719) 544-7744.

What is Club Manor Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Club Manor Clinic, Inc. was last updated on November 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.