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HealthCare Provider Sign-up
Step 1: Enter Organization Details
Step 2: Select preferred Text Number
Step 3: Complete Registration
Step 1: Enter Organization Details
   Organization Details
:
Organization Name
*
GST Number
Phone
*
Account Email
*
Fax
Address-Line1
*
Address-Line2
Country
*
select
--Select--
United States of America
India
State
*
select
--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
City
*
select
ZIP/ Postal Code
*
Entity
*
iHealthPay
--Select--
iHealthPay
EMO
DoctorScript
   Account Administrator Details :
Last Name / Family Name
*
First Name
*
MI
Suffix
Prefix
Dr.
Mr.
Mrs.
Ms.
Title
Mobile Number
*
Email
*
Date of Birth
*
RadDatePicker
RadDatePicker
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SSN(last 4 digits)
*
   Bank Account Details
:
Account Number
Confirm Account Number
IFSC code
Account Holder Name
Country
select
--Select--
--Select--
United States of America
India
Account Number
*
Routing Number
*
Account Name (name as it appears on the account)
*
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