Stephane Provencher

D.C. | Chiropractor | 18+ years Exp



Medicare Enrolled
 8006 Crescent Park Dr, Gainesville
    Virginia, 20155

 571-248-0695    571-248-0964   Maps & Directions
Stephane Provencher is a Gainesville, Virginia based chiropractor with 18 years of experience in General Chiropractic. He completed his graduation from Logan College Of Chiropractic in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephane Provencher as General Chiropractic is 0104556839 in Virginia.
Stephane Provencher 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:
Stephane Provencher 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: General Chiropractic
Credentials: D.C.
Experience: 18+ years
Medical School Attended:Logan College Of Chiropractic
Graduation Year:2007
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:8006 Crescent Park Dr, Gainesville,
Virginia, 20155
Phone:571-248-0695
Fax:571-248-0964
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: 4789763756
Enrollment ID: I20131021001524
NPI Number: 1376729376
NPI Enumeration Date: 21 Jan, 2008
NPI Last Update On: 11 Jun, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephane Provencher are as mentioned below.
License NumberSpecializationStateStatus
0104556839Chiropractor VirginiaPrimary
2008001511 General Chiropractic MissouriSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 8006 Crescent Park Dr,
Gainesville, Virginia
Zip: 20155-3444
Phone Number: 571-248-0695
Fax Number: 571-248-0964
Patients can reach Stephane Provencher at 8006 Crescent Park Dr, Gainesville, Virginia or can call to book an appointment on 571-248-0695. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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