Jeffrey L Bouse

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JEFFREY L BOUSE

Doing business as

Hayes Shoe Store

Practice address

103 S Smith St
Cuba, MO 65453-1235

Phone

(573) 885-7312

Fax

(573) 885-7312

NPI assigned

Aug 29, 2009

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey L Bouse

Title

Owner

Phone

(573) 885-7312

Specialties & licenses 1

Addresses

Other names 1

• HAYES SHOE STORE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1689807299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S SMITH ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531235",
            "telephone_number": "573-885-7312",
            "fax_number": "573-885-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S SMITH ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531235",
            "telephone_number": "573-885-7312",
            "fax_number": "573-885-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L BOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BOUSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-885-7312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYES SHOE STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Wayne Hewkin, RPH.
• Samuel W Holland, LPC
• James Devon Huitt, PH.D., LMFT
• Rebecca Jean Hutchison, PLPC
• Individual
• Journey Through Life Counseling Services, LLC
• Amanda Karban
• Lauren Roxanne Koelling, PT
• Brittney Kreamalmyer
• Holly Jean Kreienkamp

• Prosthetic/Orthotic Supplier in Cuba, MO
• Providers in Cuba, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.