Dr. Marla Kay Wilson
Podiatrist
1522 S 5th St
Springfield
, Illinois 62703-2549
Dr. Marla Kay Wilson
Podiatrist
1522 S 5th St
Springfield
, Illinois 62703-2549
(217) 522-3046
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Marla Kay Wilson
- 1522 S 5th St
- Springfield, IL
- Zip : 62703-2549
- Fax : (217) 522-3046
- Phone : (217) 522-3622
Second Address
- Dr. Marla Kay Wilson
- 1522 S 5th St
- Springfield, IL
- Zip : 62703-2549
- Fax : (217) 522-3046
- Phone : (217) 522-3622
Reviews
FAQs
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Is Dr. Marla Kay Wilson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016-004880 | IL |
| Y | 222Z00000X | Podiatrist | 016-004880 | IL |
National Provider Identifier
| NPI | 1013981596 |
|---|---|
| Provider Name | Dr. Marla Kay Wilson |
| First Address | Springfield, IL 62703-2549 |
| Second Address | Springfield, IL 62703-2549 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 25/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1626545 | BLUE CROSS BLUE SHIELD (01) | IL |
| U78174 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.