Input your street address, city, state, and zip code
6
Select your provider type
7
Select your primary practice state (only one selection)
8
Enter your date of birth
9
Choose which email type you will be using for your account
10
Enter your email address
This email address will be used for CAQH communication/notifications
11
Re-enter your email address to confirm
12
Enter your SSN
13
Enter your NPI number
You will need an individual NPI in order to be credentialed under Grow
14
Enter DEA number if you are an NP, MD, or DO
If you are not a prescriber, click "I do not have a DEA number"
15
Select your license state
16
Enter your state license number
17
Click on Continue
18
Once you click continue, you will receive an email from CAQH Proview
This email will give you your CAQH ID, and will send you a link to create username and password for your account
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