Provider Demographics
NPI:1568066249
Name:THE HORMONE BALANCE CENTER, LLC
Entity Type:Organization
Organization Name:THE HORMONE BALANCE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:G
Authorized Official - Last Name:SPAHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-796-8800
Mailing Address - Street 1:6029 CHICKNEY DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-5526
Mailing Address - Country:US
Mailing Address - Phone:317-965-6515
Mailing Address - Fax:844-770-0404
Practice Address - Street 1:12425 OLD MERIDIAN ST STE B3
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8725
Practice Address - Country:US
Practice Address - Phone:317-796-8800
Practice Address - Fax:844-770-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty