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How do I report a change in company name and/or Federal Tax ID number?

April 26, 2017COMPANY federal tax Id report

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How do I report a change in company name and/or Federal Tax ID number?

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A. Complete the Existing Provider Change form to report changes in company name and/or Federal Tax ID number, along with an updated W-9 form. If both have changed, please contact Provider Services as you may have to sign a new Provider Agreement.