Individual provider · Type 1 NPI
Stephane Provencher, DC
Chiropractor · Gainesville, VA
NPI number
1376729376
Active
Practice location
8006 Crescent Park Dr
Gainesville, VA 20155
Fax (571) 248-0964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 2008001511 (MO) |
| Chiropractor Primary | 111N00000X | 0104556839 (VA) |
Chiropractor: 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.
4 other providers at this address
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About NPI 1376729376
Stephane Provencher, DC's National Provider Identifier is 1376729376, issued on Jan 21, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gainesville, VA. The record was last updated on Jun 11, 2019.