Johnson, Camille Elise
Johnson, Camille Elise is an individual health care provider with primary practice located at 20905 Greenfield Rd Ste 600 , Southfield MI 48075-5355. 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) 646-2100.Contact Information
Primary practice address
20905 Greenfield Rd Ste 600
Southfield MI 48075-5355
Phone: (586) 646-2100
Fax: (586) 327-1441
Website:
Health care specialties
| Specialty | Code | License # | 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 | Oct 17th, 2025 - about last year |
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 | 1558337147 | NPPES |
| Michigan | MEDICAID | 4706904 | |
| Michigan | Other | 1108235612 | |
| Michigan | Other | 1108235612 |
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