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

Edward Johnnie, DC

Individual provider Chiropractor · NPI 1528096054

Edward Johnnie, DC is a Chiropractic in O Fallon, Missouri. Graduated from Logan College of Chiropractic in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
27
Trained at
Logan College of Chiropractic
Licensed in
MO
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1137 N Main St Ste 1
O Fallon, MO 63366-1498
Phone: (636) 294-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2000146684 (MO)

Record details

NPI number1528096054
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 2, 2020
Certification dateMarch 2, 2020
Mailing address1548 Wainscott Dr, O Fallon, MO 63366-4481

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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