NPI 1437278025

Jake J Park, DC

Practitioner Chiropractor Ellicott City, MD

Practice location

Address: 9005 Chevrolet Dr Suite 4, Ellicott City, MD 21042-4009
Phone: (410) 465-3221
Fax: (410) 465-3514

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 02017 (MD)

Other Chiropractor providers in Maryland →

Registry record

NPI: 1437278025
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2007
Record last updated: 6 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.