Healthcare Provider Details

I. General information

NPI: 1548208358
Provider Name (Legal Business Name): JEFFERY ALLEN PRZYBYSZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35104 EUCLID AVE STE 209
WILLOUGHBY OH
44094-4564
US

IV. Provider business mailing address

35104 EUCLID AVE STE 209
WILLOUGHBY OH
44094-4564
US

V. Phone/Fax

Practice location:
  • Phone: 440-942-1052
  • Fax: 440-942-2288
Mailing address:
  • Phone: 440-942-1052
  • Fax: 440-942-2288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number977
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: