Individual
JEFFREY L HASTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1617 W 26TH ST STE A, JOPLIN, MO 64804-0322
(417) 659-9395
(417) 659-9695
Mailing address
1501 E 20TH ST, JOPLIN, MO 64804-0928
(417) 659-9395
(417) 659-9695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000807
MO
Other
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
Enumeration date
07/05/2006
Last updated
08/09/2022
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