Mark L Willats
Foot & Ankle Surgery Primary Podiatric Medicine
2 W 42nd St Ste 2700
Scottsbluff
, Nebraska 69361-4669
Mark L Willats
Foot & Ankle Surgery Primary Podiatric Medicine
2 W 42nd St Ste 2700
Scottsbluff
, Nebraska 69361-4669
(308) 635-1355
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Mark L Willats
- 2 W 42nd St Ste 2700
- Scottsbluff, NE
- Zip : 69361-4669
- Fax : (308) 635-1355
- Phone : (308) 632-3668
Second Address
- Mark L Willats
- 2 W 42nd St Ste 2700
- Scottsbluff, NE
- Zip : 69361-4669
- Fax : (308) 635-1355
- Phone : (308) 632-3668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 261 | NE |
| N | 213ES0103X | Foot & Ankle Surgery | 261 | NE |
National Provider Identifier
| NPI | 1174539555 |
|---|---|
| Provider Name | Mark L Willats |
| First Address | Scottsbluff, NE 69361-4669 |
| Second Address | Scottsbluff, NE 69361-4669 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 08/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 47081685307 | (05) | NE |
| U61958 | (02) |
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.