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In addition, the date of birth must match that on file with SSA. This name must match the name on file with the Social Security Administration (SSA). If the provider is an individual, this is the legal name. The last name of the provider (if an individual).

Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).

NPPES does not capture a sole proprietorship's EIN.

Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s.

A sole proprietorship may or may not have employees.

(See NPI Final Rule for information about subparts.)

As an individual, a sole proprietorship cannot be a subpart and cannot have subparts.In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).There is no difference between a sole proprietorship and a sole proprietor they are legally a single entity: an individual.In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.A sole proprietor is the sole (the only) owner of a business that is not incorporated that unincorporated business is a sole proprietorship.Indicate whether provider is a sole proprietor. 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).1 = (Person): individual human being who furnishes health care.

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Full Replica of the CMS (NPPES) NPI Record Field Nameġ0-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.Ĭode describing the type of health care provider that is being assigned an NPI.

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