# JEFFREY L HASTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750312328
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 000807 | MO | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 08/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 157819 | BCBS | MO |
| 05 | — | 303890222 | — | MO |
| 01 | — | 544172001 | MEDICARE NORIDIAN DME | MO |
| 01 | — | P00085085 | RR MEDICARE | MO |