Common Contracts
5 similar Practitioner Affiliation Agreement contracts
PRACTITIONER AFFILIATION AGREEMENT FORPractitioner Affiliation Agreement • January 30th, 2022 • Michigan
This Agreement is made by and between BLUE CROSS AND BLUE SHIELD OF MICHIGAN, a Michigan nonprofit healthcare corporation (BCBSM), and the undersigned Practitioner who is fully licensed or legally authorized to practice in the state of Michigan (TRUST PRACTITIONER).
PRACTITIONER AFFILIATION AGREEMENTPractitioner Affiliation Agreement • January 29th, 2022 • Michigan
This Agreement is made by and between BLUE CROSS AND BLUE SHIELD OF MICHIGAN, a Michigan nonprofit healthcare corporation (BCBSM), and the undersigned Practitioner who is fully licensed or legally authorized to practice in the state of Michigan (TRUST PRACTITIONER).
PRACTITIONER AFFILIATION AGREEMENTPractitioner Affiliation Agreement • May 19th, 2016 • Michigan
This Agreement is made by and between BLUE CROSS AND BLUE SHIELD OF MICHIGAN, a Michigan nonprofit healthcare corporation (BCBSM), and the undersigned Practitioner who is fully licensed or legally authorized to practice in the state of Michigan (TRUST PRACTITIONER).
PRACTITIONER AFFILIATION AGREEMENTPractitioner Affiliation Agreement • June 30th, 2015 • Michigan
This Agreement is made by and between BLUE CROSS AND BLUE SHIELD OF MICHIGAN, a Michigan nonprofit healthcare corporation (BCBSM), and the undersigned Practitioner who is fully licensed or legally authorized to practice in the state of Michigan (TRUST PRACTITIONER).
PRACTITIONER AFFILIATION AGREEMENT FORPractitioner Affiliation Agreement • September 3rd, 2010 • Michigan
This Agreement is made by and between BLUE CROSS AND BLUE SHIELD OF MICHIGAN, a Michigan nonprofit healthcare corporation (BCBSM), and the undersigned Practitioner who is fully licensed or legally authorized to practice in the state of Michigan (TRUST PRACTITIONER).
