Haste, Jeffrey L

Haste, Jeffrey L is an sole proprietor health care provider with primary practice located at 1617 W 26Th St Ste A , Joplin MO 64804-0322. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Haste, Jeffrey L can be contacted via phone (417) 659-9395.

Contact Information

Primary practice address
1617 W 26Th St Ste A Joplin MO 64804-0322
Fax: (417) 659-9695
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000807 Missouri

Profile Details

NPI number 1750312328
LBN Legal business name Haste, Jeffrey L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Aug 9th, 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 1750312328 NPPES
Missouri Other P00085085 RR MEDICARE
Missouri Other 157819 RR MEDICARE
Missouri MEDICAID 303890222 RR MEDICARE
Missouri Other 544172001 RR MEDICARE

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