Fandel, Sarah Lillian

Fandel, Sarah Lillian is an individual health care provider with primary practice located at 1409 Clark St Ste 1, Des Moines IA 50314-1964. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fandel, Sarah Lillian can be contacted via phone (515) 643-6583.

Contact Information

Primary practice address
1409 Clark St Ste 1 Des Moines IA 50314-1964
Phone: (515) 643-6583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1609274992
LBN Legal business name Fandel, Sarah Lillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Dec 18th, 2014 - about 12 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 1609274992 NPPES
Iowa MEDICAID 12982

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