Individual
DR. JOEL ELVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13720 E 86TH ST N, SUITE 130, OWASSO, OK 74055-8704
(918) 274-3888
(918) 274-3894
Mailing address
13720 E 86TH ST N, SUITE 130, OWASSO, OK 74055-8704
(918) 274-3888
(918) 274-3894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3999
OK
111N00000X
Chiropractor
4100
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4536
PREFERRED HEALTH SYSTEMS
KS
01
—
60423
BCBS OF KS PROVIDER #
KS
01
—
990005093
RAILROAD MEDICARE PROV #
KS
Enumeration date
09/30/2005
Last updated
07/17/2025
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