Atlassian uses cookies to improve your browsing experience, perform analytics and research, and conduct advertising. Accept all cookies to indicate that you agree to our use of cookies on your device. Atlassian cookies and tracking notice, (opens new window)
State license number for the provider identified in PC043. For a doctor this is the medical license, for a non-doctor this is the practice license. Do not use zero-fill. If not available, or not applicable (such as for a group or corporate entity), do not report any value here.