# EMILY FORSGREN DC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912406810
- **Authorized official:** EMILY FORSGREN DC (SOLE MEMBER)
- **Authorized official phone:** (216) 970-1273

## Contact information

- **Practice address:** 14805 DETROIT AVE STE 545, LAKEWOOD, OH 44107-3921
- **Practice address phone:** (216) 970-1273
- **Mailing address:** 14805 DETROIT AVE STE 545, LAKEWOOD, OH 44107-3921
- **Mailing address phone:** (216) 970-1273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC-04777 | OH | Yes |

## Other

- **Enumeration date:** 02/06/2018
- **Last updated:** 04/09/2018