National Provider Identifier Database

STEPHANE PROVENCHER, D.C. – NPI #1376729376
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.


Contact Information

STEPHANE PROVENCHER, D.C.
8006 CRESCENT PARK DR
GAINESVILLE, VA20155
Phone: 571-248-0695
Fax: 571-248-0964
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for STEPHANE PROVENCHER

NPI Number 1376729376
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/21/2008
Last updated 06/11/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2008001511
  • VA License #: 0104556839
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for STEPHANE PROVENCHER, D.C.

There are currently no reviews for STEPHANE PROVENCHER, D.C.


NPIdb - Home
v2.201