Individual provider · Type 1 NPI

Edward Johnnie, DC

Chiropractor · O Fallon, MO

NPI number 1528096054 Active

Practice location

1137 N Main St Ste 1
O Fallon, MO 63366-1498

Mailing address

1548 Wainscott Dr
O Fallon, MO 63366-4481

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2000146684 (MO)

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.

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About NPI 1528096054

Edward Johnnie, DC's National Provider Identifier is 1528096054, issued on Jun 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in O Fallon, MO. The record was last updated on Mar 2, 2020.