Identity Hormones Llc

LBN: Identity Hormones Llc
Identity Hormones Llc is an health care organization with primary practice located at 100 E Camelback Rd Ste 108 , Phoenix AZ 85012-1061. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Identity Hormones Llc can be contacted via phone (901) 757-3643, or through Smith, Teah Michelle via phone (901) 205-3999.

Contact Information

Primary practice address
100 E Camelback Rd Ste 108 Phoenix AZ 85012-1061
Phone: (901) 757-3643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Teah Michelle
Phone: (901) 205-3999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1326642372
LBN Legal business name Identity Hormones Llc
DBA Doing business as Identity Hormones Llc
Authorized official Smith, Teah Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2020
Last updated Nov 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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