Email sent to: registrar@multiplan.com  Subject: Requested Form || Columbus Urgent Care PA || Providers || Multiplan ||  Greetings,  Hope you are doing well. As per the email received from provider services please find attached the credentialing application form along with the W9 form for the below mentioned providers to enroll in Multiplan in our group under the below location.   Practice Details: Practice Name: Columbus Urgent Care PA Practice Tax ID# 47-1914151 Practice NPI# 1215330501 Practice Address: 926 Walnut St, Columbus, TX 78934-221  Provider 1: Provider Name: PAUL, SIGI Provider NPI# 1033623616  Provider 2: Provider Name: Jacob, Jaya Provider NPI# 1194336149  Provider 3: Provider Name: Stephen, Ani Provider NPI# 1588959118  Provider 4: Provider Name: Abraham, Jeena Provider NPI# 1467901587  Provider 5: Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 6: Provider Name: Kourouma , Odette Provider NPI# 1134525868  Provider 7: Provider Name: Jose, Julie Provider NPI# 1447883061  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you 