Williams, Amanda Dawn
Williams, Amanda Dawn is an individual health care provider with primary practice located at 805 N 36Th St Ste B , Saint Joseph MO 64506-2954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Williams, Amanda Dawn can be contacted via phone (816) 396-6026.Contact Information
Primary practice address
805 N 36Th St Ste B
Saint Joseph MO 64506-2954
Phone: (816) 396-6026
Fax: (816) 398-6896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2007016867 | Missouri |
Profile Details
| NPI number | 1902079189 |
|---|---|
| LBN Legal business name | Williams, Amanda Dawn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Aug 28th, 2020 - about 4 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 | 1902079189 | NPPES |
| Kansas | MEDICAID | 200642020A | |
| Kansas | MEDICAID | 1902079189 |
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