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

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NPI Details

Jea Sub Song is a chiropractor in Ellicott City, MD with 19 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: 11/21/2025

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