Channing C Bolick in Maitland - Chiropractor
Channing C Bolick - NPI 1316936206
Channing C Bolick is a Chiropractor in Maitland, Florida. Channing C Bolick practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Channing C Bolick is 1316936206. The last update date is 2016-03-23.
Channing C Bolick's current location address is 500 E Horatio Ave, Maitland, Florida. You can contact this provider via phone number 4076295333 and fax number 4076295343. The mailing address for Channing C Bolick is 500 E Horatio Ave, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Channing C Bolick |
|---|---|
| Address | 500 E Horatio Ave, Maitland, Florida |
| Phone Number | 4076295333 |
| Fax Number | 4076295343 |
| Sole Proprietor | N |
| Credentials | M.S., D.C. |
NPI Number Detail
| NPI Number | 1316936206 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2016-03-23 |
Provider Mailing Address Detail
| Address | 500 E Horatio Ave |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327517310 |
| Phone Number | 4076295333 |
| Fax Number | 4076295343 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH7882 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH7882 | FL | STATE LICENSE NUMBER | |
| 2800039-00 | FL | -- | |
| 350050297 | FL | RAILROAD MEDICARE | |
| 4573235 | FL | GHI PROVIDER NUMBER | |
| 1455405 | FL | CIGNA PROVIDER NUMBER | |
| 53988 | FL | ASHLINK PIN | |
| 55996 | FL | BLUE CROSS NUMBER | |
| 945833 | FL | PPNI PROVIDER NUMBER | |
| K1903 | FL | MEDICARE GROUP NUMBER | |
| P10000175970 | FL | SUNSHINE STATE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Channing C Bolick by the Centers for Medicare & Medicaid Services?
The Channing C Bolick has been issued the NPI (National Provider Identifier) 1316936206 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Channing C Bolick's facilities are geographically located?
The facilities of Channing C Bolick are physically situated at the following location: 500 E Horatio Ave, Maitland, FL, 327517310.
What is Channing C Bolick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Channing C Bolick is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When was the Channing C Bolick's 1316936206 issued?
The Channing C Bolick's 1316936206 was issued on 2005-10-14.
When was the Channing C Bolick's information last updated?
The Channing C Bolick's information was last updated on 2016-03-23.