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Select… Administrator Administrator, Assistant Buyer / Purchaser Central Supply, Director/Manager Chief Executive Officer Chief Financial Officer Chief Medical Officer Chief Nursing Officer Chief Operating Officer Clinical Services Director of Infection Control Director of Nursing Director of Nursing, Assistant Education / Training / Staff development Emergency Medical Services Environmental Services, Director/Manager Executive Director Infection Prevention Information Systems/Technology Material Manager Materials Manager Nurse Office manager Operating Room, Director/Manager Other Owner Physician/Doctor/Surgeon Safety/Risk Management/Quality Assurance Supply Chain Surgical Services, Director/Manager Therapy/Rehab Vice President
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Select... Animal Health Assisted Living DME/HME Dealer Dialysis Center Emergency Medical Services (EMS) Federal, County, or State Facility Home Health Agency Hospice Hospital Insurance Carrier Internet Laundry Nursing Home Oral Health Pharmacy Physical Therapy Physician Office/Clinic Podiatry Surgery Center Other (Explain)
Type of business is a required field.
For any registration related questions, please contact Medline customer service at
email@example.com call us at 1-800-MEDLINE (1-800-633-5463) Monday - Friday, 8am - 5pm CST.
If you would prefer to complete the application manually, please send the completed application form and tax certificates to us via fax (847) 837-2765 or email
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If you have any questions please contact us at
firstname.lastname@example.org or call us at 1-800-MEDLINE (1-800-633-5463) Monday - Friday, 8am - 5pm CST.