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PRINTED: 10/12/2021
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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How to fill out provider number 155637
How to fill out provider number 155637
01
Obtain the required form for applying for provider number 155637.
02
Fill out your personal information accurately, including name, address, contact details, and any relevant identification numbers.
03
Provide information about your qualifications, experience, and any certifications or licenses you hold.
04
Include any supporting documents that may be required, such as transcripts, references, or proof of insurance.
05
Review the completed form for any errors or omissions before submitting it to the appropriate regulatory body for processing.
Who needs provider number 155637?
01
Healthcare providers or professionals who are seeking to register or be recognized by a specific regulatory body requiring provider number 155637.
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What is provider number 155637?
Provider number 155637 is a unique identification number assigned to a healthcare provider by a regulatory body or insurance company.
Who is required to file provider number 155637?
Healthcare providers who are registered with the regulatory body or insurance company that issues provider number 155637 are required to file it.
How to fill out provider number 155637?
Provider number 155637 can be filled out by completing the necessary forms provided by the regulatory body or insurance company and submitting them with the required information.
What is the purpose of provider number 155637?
The purpose of provider number 155637 is to uniquely identify healthcare providers for billing, record-keeping, and regulatory purposes.
What information must be reported on provider number 155637?
Provider number 155637 may require reporting of personal information, professional credentials, contact details, and any other information deemed necessary by the issuing authority.
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