MY-APP-STAT, Inc.
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Company
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First Name
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Last Name
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Email
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Phone
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Address
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City
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State
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Zip Code
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Service Needed
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Consulting
Hospital Privileging
Provider Enrollment Services (Insurance Credentialing)
Medicaid Provider Enrollment
Medicare Provider Enrollment
Medical Licensing
What is your Organization Type?
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Facility
Group (more than 1 provider billing with a Type 2 NPI Number)
Individual Provider (Billing with a Type 1 NPI Number)
Other
What is your Practice Specialty?
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– Acupuncture
– Allergy
– Anesthesiology
– Cardiology
– Chiropractic
– Dentist
– Dermatology
– Emergency Medicine
– Family Medicine
– Hematology/Oncology
– Hospitalist
– Immunology
– Internal Medicine
– License Clinical Social Worker (LCSW)
– Licensed Professional Counselor (LPC)
– LMFT
– LMHC
– Massage Therapy
– Nephrology
– Neurology
– Neurosurgery
– Nurse – Midwifery
– Nurse Practitioner
– OB/GYN
– Occupational Medicine
– Occupational Therapy
– Ophthalmology
– Optometry
– Orthopedics
– Other
– Otolaryngology
– Pain Management
– Pathology
– Pediatrics
– Physical Medicine
– Physician Assistant
– Podiatry
– Psychiatry
– Psychology
– Pulmonary
– Radiation Oncology
– Radiology
– Rheumatologist
– Speech Therapy
– Surgery: Cardiothoracic
– Surgery: General
– Surgery: Oral and Maxillofacial
– Orthopedic
– Vascular
– Urology
– Vascular Disease
Number of Providers
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– Individual Practioner
– 2 to 5
– 6 to 10
– 11 to 20
– 21 to 50
– 51 to 100
– 101 to 500
– 501 to 1000
– 1001 to 2000
– 2000 plus
Tell us which Insurance Networks you would like to enroll with (and include any additional Comments and/or services needed):
How did you find MYAPPSTAT
Bing
Google
Referral
Trade Show
Yahoo
Real User Confirmation
