Individual
SHARON LYNNE JIVIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCA
Contact information
Practice address
508 NEW HOPE ROAD, SUITE #19, PRINCETON, WV 24740-2272
(304) 487-2487
(304) 431-3367
Mailing address
508 NEW HOPE ROAD, SUITE #19, PRINCETON, WV 24740-2272
(304) 487-2487
(304) 431-3367
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2101000721
VA
231H00000X
Audiologist
2201000469
VA
231H00000X
Audiologist
Primary
A0203
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0602472
PALMETTO GBA MEDICARE PTAN NUMBER PCTN OFFICE
—
01
—
0602473
PALMETTO GBA MEDICARE PTAN NUMBER BLFD OFFICE
—
05
—
3810001841
—
WV
Enumeration date
03/01/2006
Last updated
06/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us