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
Fax: (765) 213-2769
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982666186 NPPES
Indiana MEDICAID 200918910
Indiana Other 005001108

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