Gainesville Holistic Health Center
LBN: Stephane Provencher Llc
Gainesville Holistic Health Center is an health care organization with primary practice located at 8006 Crescent Park Dr , Gainesville VA 20155-3444. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Stephane Provencher Llc can be contacted via phone (571) 248-0695, or through Provencher, Stephane via phone (571) 248-0695.
Contact Information
Primary practice address
8006 Crescent Park Dr
Gainesville VA 20155-3444
Phone: (571) 248-0695
Fax: (571) 248-0964
Website:
Authorized official contact:
Name: Provencher, Stephane Doctor of Chiropractic (DC)
Phone: (571) 248-0695
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104556839 | Virginia |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104559149 | Virginia |
Profile Details
| NPI number | 1578960340 |
|---|---|
| LBN Legal business name | Stephane Provencher Llc |
| DBA Doing business as | Gainesville Holistic Health Center |
| Authorized official | Provencher, Stephane Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2014 |
| Last updated | Nov 22nd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578960340 | NPPES |
| Virginia | Other | VVB2500281 | MEDICARE PTAN |
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