Ccpd verification of health care provider's credentialing - cnrc navy 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the applicant's name and selecting the appropriate corps (MC, DC, MSC, or NC) along with the specialty such as General Dentist or Emergency Medicine Physician.
3. Indicate whether the applicant is active or reserve. Ensure that all personal and professional information is accurately filled out.
4. Upload required documents including a signed and dated Curriculum Vitae, Social Security number, Date of Birth, and Qualifying Degree. If applicable, include ECFMG details.
5. Provide copies of all professional licenses, board certifications, and resuscitation cards. Make sure to include signatures where necessary.
6. List all active and expired licenses with a brief memo explaining any expired licenses. Include details of post-graduate training with complete addresses.
7. Attach prior military records relevant to clinical specialty experience if applicable. Ensure that peer inquiry contact information is complete.
8. Finally, fill in recruiter and processor contact data accurately for smooth processing.

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