Loading
Form preview picture

Get Blue Shield Of California Provider Identification Number Application Form

Information on becoming "participating," contact Provider Services: (800) 258-3091 Section D Additional documentation required to process your application and issue a Provider Identification Number is detailed below. 1. If exempt from licensure, include proof of exemption. 2. If state licensure of certification is required in order for you to provide health care products or services, include a photocopy of the current valid state license and/or a photocopy of your license issued by the Depar.

How It Works

TDD rating
4.8Satisfied
54 votes

Tips on how to fill out, edit and sign E-Mail online

How to fill out and sign Opticians online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Tax, business, legal as well as other e-documents demand higher of compliance with the legislation and protection. Our forms are updated on a regular basis in accordance with the latest amendments in legislation. Additionally, with our service, all the info you provide in your Blue Shield Of California Provider Identification Number Application Form is protected against loss or damage via top-notch encryption.

The following tips will allow you to fill out Blue Shield Of California Provider Identification Number Application Form easily and quickly:

  1. Open the document in our feature-rich online editor by clicking on Get form.
  2. Fill out the required boxes that are colored in yellow.
  3. Hit the arrow with the inscription Next to move from box to box.
  4. Go to the e-autograph tool to add an electronic signature to the form.
  5. Add the date.
  6. Look through the whole template to make sure you haven?t skipped anything important.
  7. Hit Done and download the resulting form.

Our solution allows you to take the entire process of completing legal documents online. Due to this, you save hours (if not days or even weeks) and get rid of additional expenses. From now on, complete Blue Shield Of California Provider Identification Number Application Form from the comfort of your home, place of work, and even while on the move.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

147C FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Blue Shield Of California Provider Identification Number Application Form

  • Proprietorship
  • SS-4
  • TDD
  • C1645
  • npi
  • podiatrists
  • 147C
  • NameTitle
  • E-Mail
  • optometrists
  • Osteopaths
  • opticians
  • foregoing
  • reimbursement
  • accreditation
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.