Jividen, Sharon Lynne

Jividen, Sharon Lynne is an individual health care provider with primary practice located at 508 New Hope Road Suite #19, Princeton WV 24740-2272. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jividen, Sharon Lynne can be contacted via phone (304) 487-2487.

Contact Information

Primary practice address
508 New Hope Road Suite #19 Princeton WV 24740-2272
Phone: (304) 487-2487
Fax: (304) 431-3367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000469 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2101000721 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0203 West Virginia

Profile Details

NPI number 1609843440
LBN Legal business name Jividen, Sharon Lynne
Credentials MS CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 5th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609843440 NPPES
West Virginia MEDICAID 3810001841
West Virginia Other 0602472
West Virginia Other 0602473

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