Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jea Sub Song

Individual provider Acupuncturist · NPI 1942682174

Jea Sub Song is a Chiropractic in Ellicott City, Maryland. Graduated from Life Chiropractic College in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Trained at
Life Chiropractic College
Licensed in
MD
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3460 Ellicott Center Dr Ste 102
Ellicott City, MD 21043
Phone: (410) 465-3074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9192 Red Branch Rd Ste 200, Columbia, MD 21045-2082 — (410) 418-9000

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence S03824 (MD)
Acupuncturist Taxonomy 171100000X · Licence U02569 (MD)

Record details

NPI number1942682174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESJanuary 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ellicott City