freelance02 – MedInPer

First Name

Last Name

Email Address

Gender

Country

City

Zip Code

Contact Number

Do you have an NPI number?

Yes

Please note : If you have an NPI number, we recommend you to provide the same as this would help us verify your information immediately. Registrations without the NPI number will take longer to verify.

Do you have a GMC number?

Yes

Please note : If you have a GMC number, we recommend you to provide the same as this would help us verify your information immediately. Registrations without the GMC number will take longer to verify.

Do you have an RPPS number?

Yes

Please note : If you have an RPPS number, we recommend you to provide the same as this would help us verify your information immediately. Registrations without the RPPS number will take longer to verify.

Do you have an Albo number?

Yes

Please note : If you have an Albo number, we recommend you to provide the same as this would help us verify your information immediately. Registrations without the Albo number will take longer to verify.

How are you related to the healthcare industry?

Kindly state your relation with the healthcare industry.

What is your primary specialty?

What is your secondary specialty?

Are you involved in purchasing decision making process?

Yes

Public Profile Link (if any)

Providing a public profile link will help us verify your profile easily. You can provide links to any hospital, clinical records or articles that have your name and specialty listed (Kindly avoid social media profiles and LinkedIn)