Provencher, Stephane
Provencher, Stephane is an individual health care provider with primary practice located at 8006 Crescent Park Dr , Gainesville VA 20155. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Provencher, Stephane can be contacted via phone (571) 248-0695.Contact Information
Primary practice address
8006 Crescent Park Dr
Gainesville VA 20155
Phone: (571) 248-0695
Fax: (571) 248-0964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2008001511 | Missouri |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104556839 | Virginia |
Profile Details
| NPI number | 1376729376 |
|---|---|
| LBN Legal business name | Provencher, Stephane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Jun 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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