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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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