Individual
MS. SARAH M FUGLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12499 UNIVERSITY AVE, STE 200, CLIVE, IA 50325-8281
(515) 418-9960
(515) 418-9107
Mailing address
12499 UNIVERSITY AVE, STE 200, CLIVE, IA 50325-8281
(515) 418-9960
(515) 418-9107
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
254
NE
237600000X
Audiologist-Hearing Aid Fitter
081
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250037-00
—
NE
05
—
100250041-00
—
NE
05
—
100251703-00
—
NE
05
—
100251704-00
—
NE
05
—
100252023-00
—
NE
05
—
100252024-00
—
NE
05
—
10025369300
—
NE
05
—
10025369400
—
NE
05
—
1723312
—
IA
01
—
36845
BCBS
NE
05
—
4723312
—
IA
05
—
5723312
—
IA
05
—
6723312
—
IA
05
—
7723312
—
IA
Enumeration date
01/05/2007
Last updated
12/18/2015
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