Disclosures to be Provided. i. The name and address of any person (individual or corporation) with an ownership or control interest in the network provider. The address for corporate entities shall include, as applicable, a primary business address, every business location, and a P.O. Box address; ii. Date of birth and Social Security Number (in the case of an individual);
Appears in 11 contracts
Samples: Service Agreement, Service Agreement, Service Agreement
Disclosures to be Provided. i. (i) The name and address of any person (individual or corporation) with an ownership or control interest in the network provider. The address for corporate entities shall include, as applicable, a primary business address, every business location, and a P.O. Box address;
ii. Date of birth and Social Security Number (in the case of an individual);a
Appears in 1 contract
Samples: Independent Provider Agreement
Disclosures to be Provided. i. The name and address of any person (individual or corporation) with an ownership or control interest in the network provider. The address for corporate entities shall include, as applicable, a primary business address, every business location, and a P.O. Box X.X. Xxx address;
ii. Date of birth and Social Security Number (in the case of an individual);
Appears in 1 contract
Samples: Standard Agreement
