| Spring Forward Llc Inc. | |
|
23980 Chagrin Blvd Ste 203 Beachwood OH 44122-5542 | |
| (917) 626-3222 | |
| Not Available |
| Full Name | Spring Forward Llc Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 23980 Chagrin Blvd Ste 203, Beachwood, Ohio |
| Authorized Official Name and Position | Isaac Sommer (OWNER) |
| Authorized Official Contact | 9176263222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Forward Llc Inc. 3696 Berkeley Rd Cleveland Heights OH 44118-1970 Ph: (917) 626-3222 | Spring Forward Llc Inc. 23980 Chagrin Blvd Ste 203 Beachwood OH 44122-5542 Ph: (917) 626-3222 |
| NPI Number | 1528685716 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Medicare PECOS PAC ID | 5092138834 |
|---|---|
| Medicare Enrollment ID | O20200713000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528685716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Isaac Sommer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568808715 PECOS PAC ID: 8820423841 Enrollment ID: I20200713000492 |
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