Jeong, Wookeun

Jeong, Wookeun is an individual health care provider with primary practice located at 3459 Saint Johns Ln Ste 2 , Ellicott City MD 21042-4025. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jeong, Wookeun can be contacted via phone (410) 461-5695.

Contact Information

Primary practice address
3459 Saint Johns Ln Ste 2 Ellicott City MD 21042-4025
Fax: (410) 461-5496
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3455 North Carolina
Chiropractic Providers / Chiropractor 111N00000X S03677 Maryland
Chiropractic Providers / Chiropractor 111N00000X 0104556916 Virginia

Profile Details

NPI number 1851401087
LBN Legal business name Jeong, Wookeun
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851401087 NPPES
Other 08703 BCBS

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