Johnson Privitera, Camron L
Johnson Privitera, Camron L is an individual health care provider with primary practice located at 21 Highland Ave Se Ste 100, Roanoke VA 24013-2218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson Privitera, Camron L can be contacted via phone (540) 344-9213.Contact Information
Primary practice address
21 Highland Ave Se Ste 100
Roanoke VA 24013-2218
Phone: (540) 344-9213
Fax: (540) 345-7559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0102201592 | Virginia |
Profile Details
| NPI number | 1003810862 |
|---|---|
| LBN Legal business name | Johnson Privitera, Camron L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Nov 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003810862 | NPPES |
| Virginia | Other | 6830577 | CIGNA |
| Virginia | Other | 244013 | CIGNA |
| Virginia | Other | 54088505618 | CIGNA |
| Virginia | MEDICAID | 010072701 | CIGNA |
| Virginia | Other | 139824 | CIGNA |
| Virginia | Other | 7861556 | CIGNA |
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