Wi dea license
[DOC File]“Example” Collaborative Practice Agreement for Advanced ...
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The advanced practice nurse shall make rounds at the request of the licensed practitioner and consult with the license practitioner as needed, etc. How they maintain geographic proximity: The licensed practitioner will maintain a physical presence within a reasonable geographic proximity to the advanced practice nurse’s practice location.
[DOC File]State of Wisconsin
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Physician Hospital State License DEA JCAHO Board Status Hospital Privileges Malpractice Site Visits Practice Patterns Morality Morbidity Readmission Rates Other (list) 5.17.9. Coordination of Benefits (COB) Explain your current procedure for identifying and processing claims for COB.
[DOC File]State of WisconsinAmbulance Operational Plan, DPH 7463
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Madison, WI 53701-2659. This plan is a (check one): New Change of Service License Level Change of Ownership Special Event Plan Seasonal Plan. Revised Plan – Attach a document describing change and complete only that section applicable to the change. Contact Person (submitting plan) Telephone No. …
[DOT File]F-2, Wholesale Drug Registration Package
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Federal DEA License, if handling Controlled Dangerous Substances. Resident State Controlled Dangerous Substance License, if handling Controlled Dangerous Substances. Resident State License, if your company is located outside of New Jersey. For any questions, please contact the Food and Drug Safety Program at (609) 826-4935. Thank you.
[DOCX File]Wisconsin Department of Agriculture, Trade and Consumer ...
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Please note that you will not be issued a license until you have completed the ECFVG program. Have this AVMA letter sent directly to the Department of Agriculture, Trade and Consumer Protection (DATCP), Veterinary Examining Board, 2811 Agriculture Drive, PO Box 8911, Madison, WI 53708-8911.
[DOCX File]Request to Remove Yellow Fever Vaccine Vaccination Center ...
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Author: DHS b Created Date: 09/20/2019 08:09:00 Title: Request to Remove Yellow Fever Vaccine Vaccination Center, F-00971 Keywords: wisconsin, department of health, dhs, division of public health, dph, immunization program, request to remove yellow fever vaccine vaccination center, F-00971
[DOC File]CHAPTER 38
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DEA 222 forms are the official forms used to order controlled substances in Schedules I & II from manufacturers, wholesalers, or other sources. Upon receipt of DEA 222 forms from the Drug Enforcement Agency, the Pharmacy Director or designee shall record each DEA 222 form number onto a control log to document all forms received into the Facility.
[DOCX File]Application for a Veterinary Faculty License
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Application for a Veterinary Faculty License Subject: KCB Description: APPLICATION FOR A VETERINARY FACULTY LICENSE Made #1431 Fee and moved to 5 6 10 Fee Increase Posting folder. 03/30/10 kcb Keywords: 3T (07/26/11) Last modified by: Tompach, Matthew C Company: dorl
[DOC File]Collaborative and Prescriptive Authority Agreement
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Sterling Area Health Center . Nurse Practitioner/Physician Assistant. Collaborative and Prescriptive Authority Agreement. The undersigned licensed Physician Assistant or Nurse Practitioner and Physician(s) agree to the following collaborative practice agreement for provision of health care services at the Sterling Area Health Center.
[DOC File]MEDICAL COLLEGE OF WISCONSIN
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Wisconsin License #:_____ DEA Registration #:_____ EDUCATION (Earned Degrees Above Bachelor’s Level): Specify Degree Field of Study Institution City/State Country (Foreign) Year Conferred ACTIVITIES/SITES: Check All that Apply: MCW MSOE MU UWM CHW CRI FMLH BRI
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