Provider Type Icon

JEA SUB SONG NPI 1942682174


NPI Information

NPI: 1942682174
Provider Name: JEA SUB SONG
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3460 ELLICOTT CENTER DR STE 102
ELLICOTT CITY, MD
ZIP 21043
Phone: (410) 465-3074
Get Directions

Jea Sub Song is a chiropractor in Ellicott City, MD with 17 years of experience. 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. Jea Sub Song NPI is 1942682174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2007

The provider's business location address is:

3460 ELLICOTT CENTER DR STE 102
ELLICOTT CITY, MD
ZIP 21043
Phone: (410) 465-3074

The enumeration date for this NPI number is 6/24/2015 and was last updated on 1/4/2019.


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 Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistU02569MARYLANDNo
2111N00000XChiropractorS03824MARYLANDYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.