Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Anton Provost, DC

Individual provider Chiropractor · NPI 1306434337

Alexander Anton Provost, DC is a Chiropractic in Shawano, Wisconsin. Qualified in 2019, 7 years ago. Practices with Bad River Band of Lake Superior Tribe of Chippewa Indians Wis, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
7
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

W5675 County Road B
Shawano, WI 54166-6901
Phone: (715) 526-6158
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5599-12 (WI)
Chiropractor Taxonomy 111N00000X · Licence 6646 (MN)

Record details

NPI number1306434337
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing address8732 Polk St Ne, Blaine, MN 55434-2346

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawano