Provider Demographics
NPI:1013981943
Name:SCZPANSKI, JEFFREY NICHOLAS (MED, AT, ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:NICHOLAS
Last Name:SCZPANSKI
Suffix:
Gender:M
Credentials:MED, AT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 INTERLACHEN DR APT D
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-4326
Mailing Address - Country:US
Mailing Address - Phone:740-816-4798
Mailing Address - Fax:
Practice Address - Street 1:5501 INTERLACHEN DR APT D
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-4326
Practice Address - Country:US
Practice Address - Phone:740-816-4798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT25572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAT2557OtherOHIO LICENSE NUMBER