Provider Demographics
NPI:1336100312
Name:VANHAUEN, SARAH J (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:VANHAUEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:SANDBLOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1215 DUFF AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010
Mailing Address - Country:US
Mailing Address - Phone:515-239-3040
Mailing Address - Fax:515-239-3035
Practice Address - Street 1:3500 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 1001
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010
Practice Address - Country:US
Practice Address - Phone:515-239-3040
Practice Address - Fax:515-239-3035
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR7662207Q00000X
IA3751207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2497222Medicaid
IA2497222Medicaid
IAI18694Medicare PIN