person
Dr. Channing C Bolick, MS,DC
Chiropractor in Maitland, Florida
NPI 1316936206

Channing C Bolick is a Chiropractor based in Maitland, FL. Channing C Bolick practices in Maitland, FL and has the professional credentials of MS,DC. The NPI Number for Channing C Bolick is 1316936206 and holds a License No. CH7882 (Florida).

The current practice location address for Channing C Bolick is 500 E Horatio Ave, Maitland, FL and can be reached out via phone at 407-629-5333 and via fax at 407-629-5343.

Location: 500 E Horatio Ave, Maitland, FL, 32751-7310
person
Provider Profile Details
NPI Number
1316936206
Provider Name
Channing C Bolick
Credential
MS,DC
Provider Entity Type
Individual
Gender
Male
Address
500 E Horatio Ave, Maitland, FL, 32751-7310
Phone Number
407-629-5333
Fax Number
407-629-5343
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH7882 01 FL STATE LICENSE NUMBER
2800039-00 05 FL
350050297 01 FL RAILROAD MEDICARE
4573235 01 FL GHI PROVIDER NUMBER
1455405 01 FL CIGNA PROVIDER NUMBER
53988 01 FL ASHLINK PIN
55996 01 FL BLUE CROSS NUMBER
945833 01 FL PPNI PROVIDER NUMBER
K1903 01 FL MEDICARE GROUP NUMBER
P10000175970 01 FL SUNSHINE STATE
10728811 01 CAQH NUMBER
332352 01 FL AVMED PROVIDER NUMBER
544703 01 WELLCARE/STAYWELL MEDICARE & MEDICAID
institution
Provider Business Practice Location Address Details
Address
500 E Horatio Ave
City
State
Zip
32751-7310
Phone Number
407-629-5333
Fax Number
407-629-5343
person
Provider Business Mailing Address Details
Address
500 E Horatio Ave
City
State
Zip
32751-7310
Phone Number
407-629-5333
Fax Number
407-629-5343
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH7882 (Florida)
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.
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