Change of Tax ID

Change of Tax ID Providers who change tax identification numbers under circumstances other than those described in Rule 4.3, Change of Ownership and Rule 4.8, Requirements for All Providers must: 1. Request the change and the effective date of change in writing, 2. The request must include the tax identification number; 3. The tax identification type (FEIN or SSN); 4. The legal name of the provider; and 5. Attestation that a change of ownership, as defined in Rule 4.3, has not occurred. The provider does not need to submit a Provider Enrollment Change of Ownership application. The provider number is not changed; however, a new taxpayer identification segment will be established.