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Ballantyne Medical Associates, LLC.REGISTRATION FORM (Please Print) Today's date:PCP:PATIENT INFORMATION Patients last name:First:Is this your legal name? ! Middle:If not, what is your legal name?!
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To fill out the Ballantyne Medical Associates PLLC form, follow these steps:
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Start by placing your personal information in the designated fields. This includes your name, address, phone number, and email address.
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Ballantyne Medical Associates PLLC is a professional limited liability company that typically provides medical services, often specializing in outpatient care, preventive care, and other healthcare-related services in a specific region, usually Ballantyne in Charlotte, North Carolina.
Entities operating as a professional limited liability company (PLLC) in the medical field, which includes healthcare providers like physicians, physical therapists, and other licensed practitioners, are required to file for Ballantyne Medical Associates PLLC.
To fill out the application for Ballantyne Medical Associates PLLC, one must complete the required forms available from the state’s Secretary of State or relevant regulatory body, provide necessary documents such as proof of licensure, and submit any fees associated with the formation of the PLLC.
The purpose of Ballantyne Medical Associates PLLC is to bring together licensed healthcare professionals to provide quality medical services efficiently while limiting personal liability for its members regarding professional debts and malpractice claims.
Information that must be reported includes the names of the members, the registered agent and their address, the purpose of the business, and other pertinent details regarding the operation and management of the PLLC as required by state law.
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