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DR. CHANNING C BOLICK M.S. D.C. NPI 1316936206


NPI Information

NPI: 1316936206
Provider Name: DR. CHANNING C BOLICK, M.S., D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
500 E HORATIO AVE
SUITE 5
MAITLAND, FL
ZIP 32751
Phone: (407) 629-5333
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DR. Channing C Bolick, M.S., D.C. is a chiropractor in Maitland, FL with 26 years of experience. The provider is 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. DR. Channing C Bolick, M.S., D.C. NPI is 1316936206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:1998

The provider's business location address is:

500 E HORATIO AVE
SUITE 5
MAITLAND, FL
ZIP 32751-310
Phone: (407) 629-5333
Fax: (407) 629-5343

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 5 spinal regions (HCPCS:98942)

The enumeration date for this NPI number is 10/14/2005 and was last updated on 3/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2398SOUTH CAROLINANo
2111N00000XChiropractor6191GEORGIANo
3111N00000XChiropractorCH7882FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1332352OTHERFLORIDAAVMED PROVIDER NUMBER
2544703OTHERWELLCARE/STAYWELL MEDICARE & MEDICAID
310728811OTHERCAQH NUMBER
4350050297OTHERFLORIDARAILROAD MEDICARE
555996 ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE NUMBER
6P10000175970OTHERFLORIDASUNSHINE STATE
71455405OTHERFLORIDACIGNA PROVIDER NUMBER
855996OTHERFLORIDABLUE CROSS NUMBER
9945833OTHERFLORIDAPPNI PROVIDER NUMBER
10CH7882OTHERFLORIDASTATE LICENSE NUMBER
11U74151MEDICARE UPINFLORIDA
124573235OTHERFLORIDAGHI PROVIDER NUMBER
1353988OTHERFLORIDAASHLINK PIN
14K1903OTHERFLORIDAMEDICARE GROUP NUMBER
152800039-00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.