Box 33 - Physician's, Supplier's Billing Name, Address, Zip Code & Phone

 

Box33 contains the Physician's or Suppliers Billing Name, Address, Zip Code, & Phone Number (the first three lines of Box33)  In addition, the bottom of the Box33 (the fourth line) optionally contains the PIN# and/or GRP#.  The last two items are described in Box33 - PIN# and Box33 GRP# respectfully.

 

Notes: