Provider Demographics
NPI:1174594824
Name:ARICK, CHRISTOPHER TODD (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:ARICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 78TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2053
Mailing Address - Country:US
Mailing Address - Phone:727-873-7870
Mailing Address - Fax:727-954-3361
Practice Address - Street 1:6630 78TH AVE N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2053
Practice Address - Country:US
Practice Address - Phone:727-873-7870
Practice Address - Fax:727-954-3361
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10651111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200817470Medicaid
IN200817470Medicaid