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Contact Information

SARAH M FUGLEBERG
12499 UNIVERSITY AVE
STE 200
CLIVE, IA50325-8281
 Phone: 515-418-9960
 Fax: 515-418-9107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for SARAH M FUGLEBERG · (Female)

NPI # 1134277429
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2007
Last updated 12/18/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 081
  • NE License # 254
  • IA Medicaid 1723312
  • IA Medicaid 4723312
  • IA Medicaid 5723312
  • IA Medicaid 6723312
  • IA Medicaid 7723312
  • NE Medicaid 100250037-00
  • NE Medicaid 100250041-00
  • NE Medicaid 100251703-00
  • NE Medicaid 100251704-00
  • NE Medicaid 100252023-00
  • NE Medicaid 100252024-00
  • NE Medicaid 10025369300
  • NE Medicaid 10025369400
  • NE Other 36845 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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