WOOKEUN JEONG DC NPI 1851401087

NPI Information

NPI: 1851401087
Provider Name: WOOKEUN JEONG, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3459 SAINT JOHNS LN STE 2
ELLICOTT CITY, MD
ZIP 21042
Phone: (410) 461-5695
Get Directions

Wookeun Jeong, DC is a chiropractor in Ellicott City, MD. The provider is 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. Wookeun Jeong, DC NPI is 1851401087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3459 SAINT JOHNS LN STE 2
ELLICOTT CITY, MD
ZIP 21042-025
Phone: (410) 461-5695
Fax: (410) 461-5496

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	111N00000X	Chiropractor	3455	NORTH CAROLINA	No
2	111N00000X	Chiropractor	0104556916	VIRGINIA	No
3	111N00000X	Chiropractor	S03677	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2459389	MEDICARE PIN	NORTH CAROLINA
2	08703	OTHER		BCBS
3	U48893	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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