Apply for Nurse Practitioner/ MD 1099 Contractor Buffalo/Niagara Falls

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Summary
Title:Nurse Practitioner/ MD 1099 Contractor Buffalo/Niagara Falls
ID:1849
Location:Erie County / Niagara County
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
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NP/ MD 1099 Contractor
Please answer the following questions
* Are you legally eligible to work in the United States?
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* Do you have reliable transportation?
Yes
No
* Are you currently licensed as a Nurse Practitioner or MD in New York State?
Yes
No
* Do you hold malpractice insurance?
Yes
No
* Can you work 10 hours a month?
Yes
No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
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American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
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White (Not Hispanic or Latino)
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Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
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All persons who identify with more than one of the above races
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