The Bolick Clinic, Inc.
LBN: The Bolick Clinic, Inc.
The Bolick Clinic, Inc. is an health care organization with primary practice located at 500 E Horatio Ave Suite 5, Maitland FL 32751-7310. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
The Bolick Clinic, Inc. can be contacted via phone (407) 629-5333, or through Bolick, Channing C. via phone (407) 629-5333.
Contact Information
Primary practice address
500 E Horatio Ave Suite 5
Maitland FL 32751-7310
Phone: (407) 629-5333
Fax: (407) 629-5343
Website:
Authorized official contact:
Name: Bolick, Channing C. Doctor of Chiropractic (DC)
Phone: (407) 629-5333
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Other Service Providers / Acupuncturist | 171100000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1073680088 |
|---|---|
| LBN Legal business name | The Bolick Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Bolick, Channing C. Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jun 4th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073680088 | NPPES |
| Florida | MEDICAID | 3819132-00 | |
| Florida | Other | 55996 |
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