P ilots who take one of four (4) antidepressants-Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride), Zoloft (Sertraline Hydrochloride) may be considered by the FAA on a case by case basis only.
The Tax Identification Number is also known as TIN. Entity Type Code â The type of health care provider that is being assigned an NPI. Codes are as. follows: Entity Type Code 1 (A Person) â Individuals who render health care or furnish health.
1 Patientâs name and address. 2  Date(s) of service. 3  Type(s) of service(s) provided (Itemization detailing CPT codes and diagnosis codes) 4  Billed amount.  Providerâs license number, federal tax identification number (FEIN or SSN), business address, telephone number, signature or signature stamp, and billing date.