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Louisiana standardized credentialing application

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FOR DENTISTS ONLY - Do you perform any procedures in the office setting utilizing conscious sedation or any anesthesia other than oral analgesic No If yes a copy of your Anesthesia Permit must accompany this application. Have you been or are you currently licensed in any other state If YES please complete the following REFERENCES List as professional references three or more peers Physicians of the same or similar specialty who are familiar with your work effort and skills during the past two y ...

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Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (146 Votes)
2008	4.4 Satisfied (453 Votes)

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What is Texas standardized credentialing application?

The Texas Standardized Credentialing Application fulfills requirements of Senate Bill 544, Section 3 (77th Texas Leg, effective Sept. 1, 2001) and Texas Insurance Code Chapter 1452 providing for the Texas Insurance Commissioner to adopt a standardized form for verification of physician credentials.

What is the Louisiana Standardized Credentialing Application?

What is for Louisiana Standardized Credentialing Application form? It is an application, provided by general medication organizations of Louisiana State. Health caring providers require this document on important basis with other documents, needed for guarantee medical help.