Is this provider a Sole Proprietor - NO Business Address – must be an address where you can currently receive mail. It is recommended to use your current local mailing address (it can be changed later). Phone Number – must be a phone number where you can currently be reached. Note: This number is public information, and can be looked up by anyone. Once you begin working in your program, it is recommended to change this number to your program phone number. Business Practice Location Address – click the "Same as business Mailing Address" button. Once you begin working in your program, this should be updated to your program's address. Other Identification Numbers – you do not currently have any other identifiers to enter |