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

Stephane Provencher, DC

Individual provider Chiropractor · NPI 1376729376

Stephane Provencher, DC is a Chiropractic in Gainesville, Virginia. Graduated from Logan College of Chiropractic in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Missouri and Virginia.

Years since qualifying
19
Trained at
Logan College of Chiropractic
Licensed in
MO, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

8006 Crescent Park Dr
Gainesville, VA 20155
Phone: (571) 248-0695
Fax: (571) 248-0964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104556839 (VA)
Chiropractor Taxonomy 111N00000X · Licence 2008001511 (MO)

Record details

NPI number1376729376
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 21, 2008
Last updated in NPPESJune 11, 2019
Mailing address8006 Crescent Park Dr, Gainesville, VA 20155-3444

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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