Bolick, Channing C
Bolick, Channing C is an individual health care provider with primary practice located at 500 E Horatio Ave Ste 5 , Maitland FL 32751-7310. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Independent Medical Examiner, Chiropractic Providers / Occupational Health. Chiropractic Providers / Chiropractor is his primary health care specialty. Bolick, Channing C can be contacted via phone (407) 629-5333.Contact Information
Primary practice address
500 E Horatio Ave Ste 5
Maitland FL 32751-7310
Phone: (407) 629-5333
Fax: (407) 629-5343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2398 | South Carolina |
| Chiropractic Providers / Independent Medical Examiner | 111NI0013X | CH7882 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | 6191 | Georgia |
| Chiropractic Providers / Chiropractor | 111N00000X | CH7882 | Florida |
| Chiropractic Providers / Occupational Health | 111NX0100X | CH7882 | Florida |
Profile Details
| NPI number | 1316936206 |
|---|---|
| LBN Legal business name | Bolick, Channing C |
| Credentials | DC, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Sep 23rd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316936206 | NPPES |
| Florida | Other | CH7882 | STATE LICENSE NUMBER |
| Florida | MEDICAID | 2800039-00 | STATE LICENSE NUMBER |
| Florida | Other | 350050297 | STATE LICENSE NUMBER |
| Florida | Other | 4573235 | STATE LICENSE NUMBER |
| Florida | Other | 1455405 | STATE LICENSE NUMBER |
| Florida | Other | 53988 | STATE LICENSE NUMBER |
| Florida | Other | 55996 | STATE LICENSE NUMBER |
| Florida | Other | 945833 | STATE LICENSE NUMBER |
| Florida | Other | K1903 | STATE LICENSE NUMBER |
| Florida | Other | P10000175970 | STATE LICENSE NUMBER |
| Florida | Other | 10728811 | STATE LICENSE NUMBER |
| Florida | Other | 332352 | STATE LICENSE NUMBER |
| Florida | Other | 544703 | STATE LICENSE NUMBER |
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