Graybeal, Molly Tripp
Graybeal, Molly Tripp is an individual health care provider with primary practice located at 3715 S Madison St , Muncie IN 47302-5756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Graybeal, Molly Tripp can be contacted via phone (765) 286-7000.Contact Information
Primary practice address
3715 S Madison St
Muncie IN 47302-5756
Phone: (765) 286-7000
Fax: (765) 213-2769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 71002765A | Indiana |
Profile Details
NPI number | 1982666186 |
---|---|
LBN Legal business name | Graybeal, Molly Tripp |
Credentials | WNHP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2006 |
Last updated | Jun 1st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982666186 | NPPES |
Indiana | MEDICAID | 200918910 | |
Indiana | Other | 005001108 |
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