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Provider Type Select your provider type Physician Nurse Practitioner Physician Assistant Dentist Therapist Psychologist Pharmacist Other Healthcare Professional

Medical Specialty Select your specialty

Medical License Number

NPI Number

Years of Experience

Practice Facility Name

Practice Address

Insurance Accepted Medicare Medicaid Blue Cross Blue Shield Aetna Cigna Humana UnitedHealthcare Kaiser Permanente Anthem Centene TRICARE Oxford Health

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Organization Name

Organization Type Select organization type Hospital Clinic Urgent Care Imaging Center Laboratory Pharmacy Mental Health Center Rehabilitation Center Nursing Home Medical Group Other

Tax ID Number

Facility Address

Services Offered Laboratory Services Imaging Services Radiology Services Pathology Services Cardiac Diagnostics Primary Care Preventive Care Wellness Programs Health Screenings Specialty Care Surgical Services Emergency Services Urgent Care Services Maternity Services Pediatric Services Geriatric Services Pharmacy Services Home Health Services Hospice Care Nutrition Counseling Social Services Medical Equipment Medical Transportation Physical Therapy Occupational Therapy Speech Therapy Mental Health Services Rehabilitation Services Dialysis Services Chemotherapy Services

Insurance Plans Accepted Medicare Medicaid Blue Cross Blue Shield Aetna Cigna Humana UnitedHealthcare Kaiser Permanente Anthem Centene TRICARE Oxford Health

Password

Password must be at least 8 characters with letters and numbers.

Confirm Password

I agree to the Terms of Service and Privacy Policy