Organization · Type 2 NPI
Stephane Provencher LLC
Chiropractor · Gainesville, VA
NPI number
1578960340
Active
Practice location
8006 Crescent Park Dr
Gainesville, VA 20155-3444
Fax (571) 248-0964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556839 (VA) |
| Chiropractor | 111N00000X | 0104559149 (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 1578960340
Stephane Provencher LLC's National Provider Identifier is 1578960340, issued on Nov 22, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gainesville, VA. The record was last updated on Nov 22, 2014.