State licensing board definition
Examples of State licensing board in a sentence
If the state does not require specific limits, Participating Provider agrees to maintain professional liability insurance of One Million Dollars ($1,000,000) per claim and THREE MILLION DOLLARS ($3,000,000) annual aggregate, or such other amounts as may be recommended by the State licensing board.
Last name First name Middle initial Date of birth SSN NPI type I - Individual NPI type II - Organization Primary specialty Secondary specialty State licensing board License number License expiration Physical address – The physical address, phone number and website will appear on the website provider directory.
Notwithstanding anything to the contrary contained in this Agreement, LIBERTY IPA and/or Payor may immediately suspend or terminate this Agreement in cases (1) involving imminent harm to Enrollee care, (2) where there has been a determination of fraud, or (3) where there is a final disciplinary action by a State licensing board or other government agency that impairs the provider's ability to practice.
Any and all legal fees incurred by HHRCC, Llc as the petitioner or the respondents of any and all actions will be assigned to the Buyer.
The imposition of any disciplinary action, including censure and reprimand, by any State licensing board.
Last name First name Middle initial Date of birth SSN Practitioner NPI Primary specialty Secondary specialty State licensing board License number License expiration Physical address – The physical address, phone number and website will appear on the website provider directory.
Last name Date of birth NPI type I - Individual Primary specialty State licensing board First name SSN NPI type II - Organization Secondary specialty License number Middle initial License expiration Physical address – The physical address, phone number and website will appear on the website provider directory.
If the state does not require specific limits, Participating Provider agrees to maintain professional liability insurance of ONE MILLION DOLLARS ($1,000,000) per claim and THREE MILLION DOLLARS ($3,000,000) annual aggregate, or such other amounts as may be recommended by the State licensing board.
Immediate written notice will be provided without sixty (60) days notice in the event Provider’s license has been disciplined by a State licensing board.
Immediate written notice will be provided without sixty (60) days notice in the event Hospital’s license has been disciplined by a State licensing board.