Fugleberg, Sarah M
Fugleberg, Sarah M is an individual health care provider with primary practice located at 12499 University Ave Ste 200, Clive IA 50325-8281. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Fugleberg, Sarah M can be contacted via phone (515) 418-9960.Contact Information
Primary practice address
12499 University Ave Ste 200
Clive IA 50325-8281
Phone: (515) 418-9960
Fax: (515) 418-9107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 254 | Nebraska |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 081 | Nebraska |
Profile Details
| NPI number | 1134277429 |
|---|---|
| LBN Legal business name | Fugleberg, Sarah M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Dec 18th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134277429 | NPPES |
| Iowa | MEDICAID | 4723312 | |
| Iowa | MEDICAID | 1723312 | |
| Iowa | MEDICAID | 100250037-00 | |
| Iowa | MEDICAID | 100250041-00 | |
| Iowa | MEDICAID | 100252023-00 | |
| Iowa | MEDICAID | 7723312 | |
| Iowa | Other | 36845 | |
| Iowa | MEDICAID | 100251703-00 | |
| Iowa | MEDICAID | 100252024-00 | |
| Iowa | MEDICAID | 10025369300 | |
| Iowa | MEDICAID | 5723312 | |
| Iowa | MEDICAID | 6723312 | |
| Iowa | MEDICAID | 10025369400 | |
| Iowa | MEDICAID | 100251704-00 |
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