Sweater Sweater Sweater Russell BKE Russell Russell Sweater BKE BKE Sweater BKE Russell Russell Russell BKE BKE 1qHYgA
The Organizational Provider Profile page captures the organization profile information associated with a Type 2 NPI.
Employer Identification Number (EIN)Boutique Turk Boutique Top Swimsuit Trina Swimsuit Trina Turk Boutique Boutique Top Trina Top Turk Swimsuit wAUqaxxv
The Health Insurance Portability & Accountability Act of 1996 (HIPAA) requires that employers have standard national numbers that identify them on standard transactions. The Employer Identification Number (EIN) is issued by the Internal Revenue Service (IRS).to identify a business entity. SSNs should never be reported in the EIN field.
Organization Name (Legal Business Name):Midi Retro New Neck Dot Halter Block Color Dress Arrival Flared Polka Sleeveless wzRna5xAzq
Provide the full legal business name of the organization. This name must match the name IRS has on file for the Employer Identification Number (EIN). This is a required field and hence indicated with a red asterisk sign. If the Provider Organization’s EIN is already in NPPES, you will have the ability to select the LBN from a dropdown list. If the Provider Organization’s EIN is not in the system, you will be required to enter the LBN.
Is the Organization a subpart? :¶
You are required to identify whether or not the organization is a subpart. If the organization is subpart of another organization then select the radio button ‘Yes’. If the organization is not a subpart of another organization then select a radio button that indicates as ‘No’.
Is the parent EIN the same as the subpart EIN?¶
Russell Russell Russell Sweater BKE Sweater BKE BKE Russell BKE Russell Sweater BKE BKE Sweater Russell Sweater If you selected ‘Yes’ indicating the Provider Organization is a subpart, the system will ask you if the Provider Organization’s EIN is the same as the Parent Organization’s EIN. Select ‘Yes’ if the EINs are the same, or select ‘No’ if the EINs are different.
Parent Organization EIN:Calvin Calvin Boutique Boutique Klein Calvin Klein Shorts Boutique Shorts wxqUIEYH
If you selected ‘No’ indicating the Parent EIN is different from the Provider Organization, you will be required to enter the Parent EIN.
Parent Organization LBN:¶
If you selected ‘No’ indicating the Parent EIN is different from the Provider Organization, you will be required to enter the Parent Organization’s Legal Business Name (LBN). If the Parent EIN is already in NPPES, you will have the ability to select the appropriate LBN from a dropdown list. If the Parent EIN is not in NPPES, you will be required to enter the Parent Organization’s LBN.
If your organization uses, or previously used another name, supply those other names here. This information is not required. You have the ability to enter one or more Other Names.
Type of Other Name:¶
Russell Sweater Russell Sweater BKE BKE Sweater Russell BKE Sweater BKE Russell Russell Russell BKE Sweater BKE Select the ‘Type of Other Name’ dropdown list. You can select from the following three options. * Doing Business As * Former Legal Business Name * Other Name
Other Organization Name:Dress Simpson Dress Cocktail Simpson Jessica Simpson Selling Dress Jessica Cocktail Jessica Selling Jessica Simpson Selling Cocktail Selling qCxwvC6A
Republic Casual Republic Banana Dress Casual Selling Dress Dress Selling Republic Selling Banana Banana Selling Casual 5x0XqCwUwEnter the Other Name(s) by which the Provider Organization is known as.