Healthcare Provider Details

I. General information

NPI: 1689852808
Provider Name (Legal Business Name): JAMES R BIVEN JR. LHAS,IIHIS,BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HEARING EDGE LHAS BUISNESS

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 03/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 COLUMBUS RD SUITE A
GRANVILLE OH
43023-1232
US

IV. Provider business mailing address

1630 COLUMBUS RD SUITE A
GRANVILLE OH
43023-1232
US

V. Phone/Fax

Practice location:
  • Phone: 740-321-3396
  • Fax: 740-321-3381
Mailing address:
  • Phone: 740-321-3396
  • Fax: 740-321-3381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2909
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1721
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: