Song, Jea Sub
Song, Jea Sub is an individual health care provider with primary practice located at 3460 Ellicott Center Dr Ste 102 , Ellicott City MD 21043. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Song, Jea Sub can be contacted via phone (410) 465-3074.Contact Information
Primary practice address
3460 Ellicott Center Dr Ste 102
Ellicott City MD 21043
Phone: (410) 465-3074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | U02569 | Maryland |
| Chiropractic Providers / Chiropractor | 111N00000X | S03824 | Maryland |
Profile Details
| NPI number | 1942682174 |
|---|---|
| LBN Legal business name | Song, Jea Sub |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Jan 4th, 2019 - about 5 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.
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