Johnson Privitera, Camron L
Johnson Privitera, Camron L is an sole proprietor health care provider with primary practice located at 5000 Brambleton Ave Ste B , Roanoke VA 24018-4642. 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) 200-8091.Contact Information
Primary practice address
5000 Brambleton Ave Ste B
Roanoke VA 24018-4642
Phone: (540) 200-8091
Fax: (540) 779-7848
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 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jan 30th, 2026 - about 10 months 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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