Individual
STEPHANE PROVENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8006 CRESCENT PARK DR, GAINESVILLE, VA 20155
(571) 248-0695
(571) 248-0964
Mailing address
8006 CRESCENT PARK DR, GAINESVILLE, VA 20155-3444
(571) 248-0695
(571) 248-0964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556839
VA
111N00000X
Chiropractor
2008001511
MO
Other
Enumeration date
01/21/2008
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us