Roberts, Camille Ivah
Roberts, Camille Ivah is an sole proprietor health care provider with primary practice located at 175 Kimel Park Dr , Winston Salem NC 27103-6951. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Roberts, Camille Ivah can be contacted via phone (336) 718-1006.Contact Information
Primary practice address
175 Kimel Park Dr
Winston Salem NC 27103-6951
Phone: (336) 718-1006
Fax: (336) 718-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 223309 | Massachusetts |
Profile Details
| NPI number | 1376519421 |
|---|---|
| LBN Legal business name | Roberts, Camille Ivah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jun 30th, 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 | 1376519421 | NPPES |
| Massachusetts | MEDICAID | 2101513 | |
| Massachusetts | Other | 470259 | |
| Massachusetts | Other | J28697 | |
| Massachusetts | Other | 042472266 | |
| Massachusetts | Other | 042472266 | |
| Massachusetts | Other | 87361 | |
| Massachusetts | Other | J28697 | |
| Massachusetts | Other | 2101513 | |
| Massachusetts | Other | 2283928 | |
| Massachusetts | Other | 92299 | |
| Massachusetts | Other | 042472266 | |
| Massachusetts | Other | AA30837 | |
| Massachusetts | Other | J28697 | |
| Massachusetts | Other | 1212746 | |
| Massachusetts | Other | 7668645 | |
| Massachusetts | Other | 042472266 | |
| Massachusetts | Other | 87361 | |
| Massachusetts | Other | 787925 |
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