Welcome to WTCHP Provider Registration Login
  • All fields with are required.
  • At least one NPI or TIN. Multiple numbers are to be separated by commas.
  • NPI is 10 digits and TIN is 9 digits. Hyphen(-) in TIN is not allowed.
NPIs
TINs

First Name
Last Name
Practice Name
Address
City
Phone

Unformatted 10 numbers only
Email
Confirm Email
Username

Alphanumeric and can only contain these special characters _ @ . , '
Password
  • Must be a minimum 12 characters in length
  • Contain at least 1 Uppercase letter (A-Z), 1 Lowercase letter (a-z), 1 Digit (0-9), and 1 Special character (~`!@#$%^&*()+=_-{}[]\)
Confirm Password
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