Johnson, Camille Elise

Johnson, Camille Elise is an individual health care provider with primary practice located at 15301 E 8 Mile Rd , Eastpointe MI 48021-2952. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Johnson, Camille Elise can be contacted via phone (586) 776-5677.

Contact Information

Primary practice address
15301 E 8 Mile Rd Eastpointe MI 48021-2952
Phone: (586) 776-5677
Fax: (586) 279-3467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301061672 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301061672 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301061672 Michigan

Profile Details

NPI number 1558337147
LBN Legal business name Johnson, Camille Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 21st, 2018 - about 6 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 1558337147 NPPES
Michigan MEDICAID 4706904
Michigan Other 1108235612
Michigan Other 1108235612

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