Education
CE Provider Application - Choose one:
A provider number is non-transferable and non-shareable. This means providers may not “contract” out their approval number. Providers may not share with another agency organization or partner with another to use the same number. Providers who are hosting a co-sponsored event must be one of the event presenters. Only one of the provider numbers is needed for co-sponsored events. Co-sponsored events are the exception, not the rule; therefore hosting only co-sponsored events with one number is not allowable. Providers may not contract with CE agencies who buy a provider number and then provide it to multiple agencies/organizations or the like.
Non-Clinical Application: $400

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Contact
Payment
Delivery
CONTACT INFORMATION
CE Provider Application Information

For your application number below, use your first initial, last name, and the four digits of the year. For example, Pete Nielsen applying in 2021 would have the application number PNielsen2021. This number will be included in any documentation you will send as well. 

If your CE Provider contact person is different than the person applying, please indicate their contact info here:

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Clinical Application: $700

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2
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Contact
Payment
Delivery
CONTACT INFORMATION
CE Provider Application Information

For your application number below, use your first initial, last name, and the four digits of the year. For example, Pete Nielsen applying in 2021 would have the application number PNielsen2021. This number will be included in any documentation you will send as well. 

If your CE Provider contact person is different than the person applying, please indicate their contact info here:

NEXT

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