Sharon Lynne Jividen in Princeton - Audiologist

Sharon Lynne Jividen - NPI 1609843440

Sharon Lynne Jividen is a Audiologist in Princeton, . Sharon Lynne Jividen practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Sharon Lynne Jividen is 1609843440. The last update date is 2013-06-05.

Sharon Lynne Jividen's current location address is 508 New Hope Road, Princeton, . You can contact this provider via phone number 3044872487 and fax number 3044313367. The mailing address for Sharon Lynne Jividen is 508 New Hope Road, Princeton, . To know further, please read the information below!

Provider Profile Detail

Provider Name Sharon Lynne Jividen
Address 508 New Hope Road, Princeton,
Phone Number 3044872487
Fax Number 3044313367
Sole Proprietor N
Credentials MS CCCA

NPI Number Detail

NPI Number 1609843440
Provider Enumeration Date 2006-03-01
Last Updated Date 2013-06-05

Provider Mailing Address Detail

Address 508 New Hope Road
City Princeton
State (WV)
Post Code 247402272
Phone Number 3044872487
Fax Number 3044313367

Provider's Primary Taxonomy Detail

Speciality Audiologist
Taxonomy 231H00000X
Licence No 2201000469
Definition:
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3810001841 WV --
602472 PALMETTO GBA MEDICARE PTAN NUM
602473 PALMETTO GBA MEDICARE PTAN NUM

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FAQs about Sharon Lynne Jividen

What is the unique 10-digit identification code assigned to Sharon Lynne Jividen by the Centers for Medicare & Medicaid Services?

The Sharon Lynne Jividen has been issued the NPI (National Provider Identifier) 1609843440, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Sharon Lynne Jividen is physically located?

The Sharon Lynne Jividen is situated at the following address: 508 New Hope Road, Princeton, WV 247402272.

What is Sharon Lynne Jividen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sharon Lynne Jividen is Audiologist, and the corresponding taxonomy classification code for this specialized field is 231H00000X.

On what date did the Sharon Lynne Jividen receive the assignment of its 1609843440 from the Centers for Medicare & Medicaid Services?

The Sharon Lynne Jividen was issued its 1609843440 by the Centers for Medicare & Medicaid Services on 2006-03-01.

As of what date were the Sharon Lynne Jividen's details last updated?

The information pertaining to the Sharon Lynne Jividen, including its address, specialty, and other details, was most recently updated on 2013-06-05.

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