Alexander Anton Provost is a Shawano, Wisconsin based male chiropractor with 5 years of experience in General Chiropractor. He completed his graduation from Northwestern College Of Chiropractic in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Alexander Anton Provost as General Chiropractor is 5599-12 in Wisconsin. Alexander Anton Provost is qualified as 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.
Complete Profile:
Alexander Anton Provost speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
5+ years
Medical School Attended:
Northwestern College Of Chiropractic
Graduation Year:
2019
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
W5675 County Road B, Shawano, Wisconsin, 54166-6901
Phone:
715-526-6158
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7113331927
Enrollment ID:
I20210205000686
NPI Number:
1306434337
NPI Enumeration Date:
05 Jan, 2021
NPI Last Update On:
05 Jan, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexander Anton Provost are as mentioned below.
License Number
Specialization
State
Status
5599-12
Chiropractor
Wisconsin
Primary
6646
General Chiropractor
Minnesota
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Alexander Anton Provost is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Countryview Chiropractic Clinic Sc (7810088333)
6
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8732 Polk St Ne, Blaine, Minnesota
Zip:
55434-2346
Phone Number:
763-439-6576
Fax Number:
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Patients can reach Alexander Anton Provost at W5675 County Road B, Shawano, Wisconsin or can call to book an appointment on 715-526-6158. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.