My Library
Home
Store
Credentialing
Mentoring
Fee Schedule Negotiations
Credentialing Application
Once you complete this form, you'll be redirected to my scheduling page, so we can discuss next steps over video chat (Google Meet)
How is your business set up?
Sole Proprietorship
LLC/PLLC
S-Corp
None of these/ensure
Do you have a Type 2 NPI?
Yes
No
I don't know
Do you have a CAQH application
Yes
No
I don't know
Do you have liability insurance?
Yes
No
How many practitioners are you looking to credential?
Just myself
2
3
4
5
>5
If you're applying to a closed network, have you applied previously?
Yes
No
I have reviewed the prices for Dan Feldman's credentialing Program
Yes
No
Submit
Join Our Free Trial
Get started today before this once in a lifetime opportunity expires.
