STEPHANE PROVENCHER LLC (NPI# 1801300348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801300348 |
| Entity Type | Organization |
| Organization Name | STEPHANE PROVENCHER LLC |
| Other Organization Name | GAINESVILLE HOLISTIC HEALTH CENTER |
| Practice Address |
8006 Crescent Park Dr Gainesville VA 20155-3444 |
| Mailing Address |
8006 Crescent Park Drive Gainesville VA 20155 |
| Practice Telephone | 5712480695 |
| Practice Fax Number | 5712480964 |
| Mailing Telephone | 5712480695 |
| Mailing Fax Number | 5712480964 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. STEPHANE PROVENCHER (OWNER) |
| Authorized Official Telephone | 5712480695 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104556839 | VA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| gainesville holistic health center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578960340 | Stephane Provencher LLC | Chiropractor | 8006 Crescent Park Dr, Gainesville, VA 20155-3444 | 2014-11-22 |
| Street Address |
8006 CRESCENT PARK DR |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376729376 | Stephane Provencher | Chiropractor | 8006 Crescent Park Dr, Gainesville, VA 20155 | 2008-01-21 |
| 1578960340 | Stephane Provencher LLC | Chiropractor | 8006 Crescent Park Dr, Gainesville, VA 20155-3444 | 2014-11-22 |
| 1083036842 | Gregory Nash | Chiropractor | 8006 Crescent Park Dr, Gainesville, VA 20155-3444 | 2014-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288260 | Gnv Chiro Pllc | Chiropractor | 5745 Sw 75th St Num 275, Gainesville, FL 32608-5504 | 2020-05-29 |
| 1023662541 | Awaken Chiropractic Pllc | Chiropractor | 5200 Nw 43rd St Ste 507, Gainesville, FL 32606-4524 | 2019-08-01 |
| 1508325689 | Gainesville Accident & Injury Center | Chiropractor | 4114 Nw 13th St, Gainesville, FL 32609-1807 | 2019-03-18 |
| 1639647621 | Saeed Amiri | Chiropractor | 14535 John Marshall Hwy Ste 102, Gainesville, VA 20155-4024 | 2018-11-07 |
| 1891281101 | Performance Care Corporation | Chiropractor | 7343 Atlas Walk Way, Gainesville, VA 20155-2992 | 2018-07-10 |
| 1629566328 | Hayden C Chance | Chiropractor | 1240 Nw 11th Ave Ste A, Gainesville, FL 32601-3097 | 2018-04-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1922515337 | Clinton M Minter Dc, Pllc | Chiropractor | 427 N Grand Ave, Gainesville, TX 76240-4323 | 2018-01-08 |
| 1407374150 | Fehmel Family Chiropractic LLC | Chiropractor | 635 Green St Nw, Gainesville, GA 30501-3319 | 2017-09-01 |
| 1588196091 | Niklas Faust | Chiropractor | 3832 W Newberry Rd Ste 2c, Gainesville, FL 32607-4830 | 2017-04-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on STEPHANE PROVENCHER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.