MC204
- Trang Riley (Unlicensed)
- Tim Holder
Owned by Trang Riley (Unlicensed)
Data Element | Billing Provider Middle Name |
---|---|
Description | Billing provider middle name. Set to NULL if provider is a facility or an organization. |
Type | Text |
Format | varchar |
Length | 25 |
Threshold | 25% |
Required | Required |
Tip / Notes | |
Rank | 141 |