Form SFN17393 Als Provider License / Renewal Application - North Dakota

Form SFN17393 Als Provider License / Renewal Application - North Dakota

What Is Form SFN17393?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SFN17393?
A: Form SFN17393 is the Provider License/Renewal Application for healthcare providers in North Dakota.

Q: Who is required to fill out Form SFN17393?
A: Healthcare providers in North Dakota who need to apply or renew their provider license must fill out Form SFN17393.

Q: What information do I need to provide on Form SFN17393?
A: You will need to provide personal and professional information, such as your name, address, qualifications, and any previous licenses held.

Q: What is the deadline for submitting Form SFN17393?
A: The deadline for submitting Form SFN17393 varies depending on the expiration date of your current license. It is important to submit your renewal application before your current license expires.

Q: How long does it take to process Form SFN17393?
A: Processing times for Form SFN17393 may vary. It is recommended to submit your application well in advance of your license expiration date to allow for processing time.

Q: What should I do if I have additional questions or need assistance with Form SFN17393?
A: If you have additional questions or need assistance with Form SFN17393, you can contact the North Dakota Department of Health directly for support.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2021;
  • The latest edition provided by the North Dakota Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form SFN17393 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN17393 Als Provider License / Renewal Application - North Dakota

4.3 of 5 (17 votes)
  • Form SFN17393 Als Provider License / Renewal Application - North Dakota, Page 1
ADVERTISEMENT

Related Documents