Step 1 : Getting Started
You are required to enter your NPN, Licensed States, Fullname and Gender
NPN Number
Fullname
State Licenced to Sell
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Select your Gender
Male
Female
Step 2: Personal Information
Email Address
Phone Number
Contact Address
Step 3: Upload Verification Documents
*
Upload 1/5: Health Insurance License
PDF/JPG/PNG • 20MB Max
Click or drag files to upload
(20MB max per file)
Step 4: Upload Headshot/Avatar
Image Avatar
Only a single Image of not more than 1mb is allowed. You will not be allowed to change this image later.
Click or drag files to upload
(20MB max per file)
Your Are Done!
Your data will be sent to our CRM at Ivinex.
Visit CRM
.
We will let you know when your data is set up. You can reach out to us via the Live chat
Check your Email regularly!
You will have to check and monitor your email address regularly for updates. We will contact you soon.
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Continue
1
Get Started
NPN, Fullname, State and Gender
2
Account Info
Setup your account details
3
Documents Upload
Upload Verification details and Avatar
4
Upload Avatar
Upload your Headshot/Avatar
5
Agreement & Signature
Review Document and Sign
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Ivinex Inc.
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