Jeffrey L Bouse
Organization Active NPI Prosthetic/Orthotic Supplier · Cuba, MO
NPI 1689807299 · NPPES record last updated Nov 20, 2012
Key facts
- NPI
- 1689807299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- JEFFREY L BOUSE
- Practice address
- 103 S Smith St
Cuba, MO 65453-1235 - Phone
- (573) 885-7312
- Fax
- (573) 885-7312
- NPI assigned
- Aug 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey L Bouse
- Title
- Owner
- Phone
- (573) 885-7312
National Provider Directory
Locations
103 S Smith St
Cuba, MO 65453
Phone (573) 885-7312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
103 S Smith St
Cuba, MO 65453-1235
Mailing address
103 S Smith St
Cuba, MO 65453-1235
Phone (573) 885-7312
Other names
- HAYES SHOE STORE
Other providers in Cuba, MO
- John Wayne Hewkin
- Samuel W Holland
- James Devon Huitt
- Rebecca Jean Hutchison
- Individual
- Journey Through Life Counseling Services, LLC
- Amanda Karban
- Lauren Roxanne Koelling
- Brittney Kreamalmyer
- Holly Jean Kreienkamp
All providers in Cuba, MO · Prosthetic/Orthotic Supplier in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.