Organization · Type 2 NPI
Stephane Provencher LLC
Chiropractor · Gainesville, VA
NPI number
1801300348
Active
Practice location
8006 Crescent Park Dr
Gainesville, VA 20155-3444
Fax (571) 248-0964
Mailing address
8006 Crescent Park Drive
Gainesville, VA 20155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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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- Lighthouse Chiropractic LLCChiropractor Gainesville, VA NPI 1891138350
- Performance Care CorporationChiropractor Gainesville, VA NPI 1891281101
- Gateway Chiropractic IncorporatedChiropractor Gainesville, VA NPI 1912072778
About NPI 1801300348
Stephane Provencher LLC's National Provider Identifier is 1801300348, issued on Nov 20, 2017. 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.