Williams, Amanthia Peace

Williams, Amanthia Peace is an sole proprietor health care provider with primary practice located at 3645 Calder Ave. , Beaumont TX 77706. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as her primary health care specialty. Williams, Amanthia Peace can be contacted via phone (409) 833-0053.

Contact Information

Primary practice address
3645 Calder Ave. Beaumont TX 77706
Phone: (409) 833-0053
Fax: (409) 833-0671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X Texas

Profile Details

NPI number 1528584026
LBN Legal business name Williams, Amanthia Peace
Credentials PEDORTHIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2017
Last updated Jul 21st, 2022 - about 3 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 1528584026 NPPES
Texas Other 3-20480-8839-0 COMPTROLLER OF PUBLIC ACCOUNTS
Texas MEDICAID 45-5405320 COMPTROLLER OF PUBLIC ACCOUNTS

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