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UNITY PHYSICIANS HOSPITAL 4455 Edison Lakes Parkway Mishawaka, IN 46545 Phone: 574.231.6800 Fax: 5742316165 AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION Patient Identification Printed
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How to fill out united surgeons llc dba

01
Obtain the necessary paperwork from the appropriate government agency.
02
Fill in the business name 'United Surgeons LLC' in the designated field.
03
Include 'DBA' after the LLC name to indicate 'doing business as'.
04
Provide any additional required information or documentation.
05
Submit the completed form and any required fees to the government agency.

Who needs united surgeons llc dba?

01
Medical professionals who want to operate a business under a name different from their LLC.
02
Surgeons who are part of a collective practice and want to establish a brand separate from the LLC.
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United Surgeons LLC dba stands for United Surgeons Limited Liability Company doing business as.
Any individual or entity using a different name for their business than the legally registered name.
United Surgeons LLC dba can be filled out by providing the alternate business name and the legally registered name, along with any required information.
The purpose of United Surgeons LLC dba is to inform customers and the public about the alternate business name being used.
Information such as the alternate business name, legally registered name, business address, and any additional details required by local regulations.
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