Provider Demographics
NPI:1689852808
Name:BIVEN, JAMES R JR (LHAS,IIHIS,BA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:BIVEN
Suffix:JR
Gender:M
Credentials:LHAS,IIHIS,BA
Other - Prefix:
Other - First Name:HEARING
Other - Middle Name:
Other - Last Name:EDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LHAS BUISNESS
Mailing Address - Street 1:1630 COLUMBUS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-1232
Mailing Address - Country:US
Mailing Address - Phone:740-321-3396
Mailing Address - Fax:740-321-3381
Practice Address - Street 1:1630 COLUMBUS RD
Practice Address - Street 2:SUITE A
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-1232
Practice Address - Country:US
Practice Address - Phone:740-321-3396
Practice Address - Fax:740-321-3381
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1721237700000X
OH2909237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH621900OtherNAICS
OH2909OtherSTATE OF OHIO HEARING AID LICENSING BOARD