Healthcare Provider Details

I. General information

NPI: 1952671091
Provider Name (Legal Business Name): JEFFREY SCOTT WILLOUGHBY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W COSHOCTON ST
JOHNSTOWN OH
43031-9580
US

IV. Provider business mailing address

620 W COSHOCTON ST
JOHNSTOWN OH
43031-9580
US

V. Phone/Fax

Practice location:
  • Phone: 740-967-2225
  • Fax: 740-967-8907
Mailing address:
  • Phone: 740-967-2225
  • Fax: 740-967-8907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number20211287
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4243
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: