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Contact Information

CHANNING C BOLICK, DC, MS
500 E HORATIO AVE STE 5
MAITLAND, FL32751-7310
 Phone: 407-629-5333
 Fax: 407-629-5343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Independent Medical Examiner

111NI0013X 35 Chiropractic
 

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHANNING C BOLICK · (Male)

NPI # 1316936206
Status Active
Credentials DC, MS
Entity Individual
Enumeration date 10/14/2005
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • FL License # CH7882
  • GA License # 6191
  • SC License # 2398
  • FL Medicaid 2800039-00
  • Other 10728811 CAQH NUMBER
  • Other 544703 WELLCARE/STAYWELL MEDICARE & MEDICAID
  • FL Other 53988 ASHLINK PIN
  • FL Other 332352 AVMED PROVIDER NUMBER
  • FL Other 55996 BLUE CROSS NUMBER
  • FL Other 1455405 CIGNA PROVIDER NUMBER
  • FL Other 4573235 GHI PROVIDER NUMBER
  • FL Other K1903 MEDICARE GROUP NUMBER
  • FL Other 945833 PPNI PROVIDER NUMBER
  • FL Other 350050297 RAILROAD MEDICARE
  • FL Other CH7882 STATE LICENSE NUMBER
  • FL Other P10000175970 SUNSHINE STATE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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