Edward Johnnie, DC Valid NPI
Individual provider · Chiropractor · O Fallon, MO
- NPI
- 1528096054
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 2000146684 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-30
- Last updated
- 2020-03-02
Practice location
1137 N Main St Ste 1
O Fallon, MO 63366-1498
(636) 294-4530