| Name | Description | Type | Additional information |
|---|---|---|---|
| Coupon | string |
None. |
|
| PoliciesAgree | boolean |
None. |
|
| PlanType | integer |
None. |
|
| CustomForms | boolean |
None. |
|
| NotificationEmail | string |
None. |
|
| ConfirmEmail | string |
None. |
|
| Password | string |
None. |
|
| ConfirmPassword | string |
None. |
|
| SecretQuestion | string |
None. |
|
| SecretAnswer | string |
None. |
|
| PracticeName | string |
None. |
|
| PracticeAddress1 | string |
None. |
|
| PracticeAddress2 | string |
None. |
|
| PracticeCity | string |
None. |
|
| PracticeState | string |
None. |
|
| Website | string |
None. |
|
| DoctorType | integer |
None. |
|
| DoctorSubType | string |
None. |
|
| PracticeManagementSoftware | string |
None. |
|
| PracticeManagementSoftwareName | string |
None. |
|
| OtherSpecialty | string |
None. |
|
| PracticeZip | string |
None. |
|
| PracticePhone | string |
None. |
|
| FullName | string |
None. |
|
| Number | string |
None. |
|
| CVV2 | string |
None. |
|
| ExpMonth | string |
None. |
|
| ExpYear | string |
None. |
|
| NotificationTitle | string |
None. |
|
| NotificationFirstName | string |
None. |
|
| NotificationMiddleInitial | string |
None. |
|
| NotificationLastName | string |
None. |
|
| TimeZone | string |
None. |
|
| PracticeZIP | string |
None. |
|
| PracticeFax | string |
None. |
|
| HubspotID | string |
None. |