Error: Please select a change type to continue.
Error: File upload is required.
Error: NPI must be 10 numbers.
NPI must be 10 numbers.
Enter N/A if uploading a list of practitioners.
NPI must be 10 numbers. Enter 9999999999 if not available.
For multiple practitioners at the same location, please upload an Excel spreadsheet with names and NPI numbers for each practitioner.
Enter N/A if not available.
Please specify if Closed, Open 24 hours, or Enter hours in 15 minute increments, ex. 9:15 AM.
Error: Please use numbers only.
Error: NPI must be 10 numbers long.
NPI must be 10 numbers long.
Suffix Enter N/A if uploading a list of practitioners.
NPI must be 10 numbers long. Enter 9999999999 if not available.
For multiple practitioners at the same location, please upload an Excel spreadsheet with names, degrees and NPI numbers for each practitioner.