Bonzo, Dayne Kawika
Bonzo, Dayne Kawika is an sole proprietor health care provider with primary practice located at 2630 Central Ave # 3349 , Eielson Afb AK 99702-2301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bonzo, Dayne Kawika can be contacted via phone (907) 377-6455.Contact Information
Primary practice address
2630 Central Ave # 3349
Eielson Afb AK 99702-2301
Phone: (907) 377-6455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 199028 | Alaska |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 34.013112 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34.013112 | Ohio |
Profile Details
| NPI number | 1437505963 |
|---|---|
| LBN Legal business name | Bonzo, Dayne Kawika |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2016 |
| Last updated | Aug 20th, 2026 - about 3 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 | 1437505963 | NPPES |
| Alaska | MEDICAID | 1733478 |
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