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Jea Sub Song

NPI 1942682174ActiveIndividual· Chiropractor· Ellicott City, MD

Chiropractor in Ellicott City, Maryland, trained at Life Chiropractic College (class of 2007). Enrolled in Medicare as practitioner - chiropractic.

Overview

NPI1942682174
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 24, 2015
Last updated in NPPESJan 4, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000XS03824MD
Acupuncturist171100000XU02569MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Chiropractic (MD)

Medicare sources and data years

Education and affiliations

Medical schoolLife Chiropractic College
Graduation year2007
Medicare specialtyChiropractic

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other chiropractors in Ellicott City

All 34 chiropractors in Ellicott City · All chiropractors in Maryland