Entity Type 1:
Individuals who render health care; e.g., physicians, dentists,
nurses, chiropractors, pharmacists, physical therapists and sole providers.
Incorporated individuals may obtain NPIs for themselves (Entity Type 1 Individual)
if they are health care providers and may obtain NPIs for their corporations
(Entity Type 2 Organization). A sole proprietorship is an Entity Type 1 (Individual).
A sole proprietorship is an Entity Type 1 (Individual). (A sole proprietorship is a form
of business in which one person owns all the assets of the business and is solely liable
for all the debts of the business in an individual capacity. Therefore, sole proprietorships
are not organization health care providers.) Note that sole proprietorships may obtain only one NPI.
Sole proprietorships must report their SSNs (not EINs even if they have EINs).
Virtually any health care provider could be a sole proprietorship, including most of the examples listed in Entity Type 2.
Entity Type 2:
Organizations that render health care services, or furnish
health care supplies to patients; e.g., hospitals, home health
agencies, ambulance companies, health maintenance organizations,
durable medical equipment suppliers, pharmacies and corporations
formed when an individual incorporates.Solely owned corporations
that are health care providers obtain NPIs as Entity Type 2.
If the organization is a subpart, check yes and furnish the
Legal Business Name (LBN) and Taxpayer Identification Number (TIN)
of the “parent” organization health care provider. (A subpart is a
component of an organization health care provider. A subpart may be
a different location or may furnish a different type of health care
than the organization health care provider. For ease of reference,
we refer to that organization health care provider as the “parent”.)
Once the Entity Type is selected and the page is navigated away
from, the Entity Type should not be changed. If a change is
attempted, the application process will need to be restarted.