Camilo, Osvaldo A

Camilo, Osvaldo A is an individual health care provider with primary practice located at 1918 Randolph Rd Suite 400, Charlotte NC 28207-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Camilo, Osvaldo A can be contacted via phone (704) 384-9437.

Contact Information

Primary practice address
1918 Randolph Rd Suite 400 Charlotte NC 28207-1100
Fax: (704) 384-9440
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 304515 Louisiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 200401180 North Carolina

Profile Details

NPI number 1902829898
LBN Legal business name Camilo, Osvaldo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 14th, 2017 - about 7 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 1902829898 NPPES
South Carolina MEDICAID N01180
South Carolina MEDICAID 5904399

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