Bonzo, Dustin Lee

Bonzo, Dustin Lee is an individual health care provider with primary practice located at 1011 N Highway 69 , Frontenac KS 66763-8100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonzo, Dustin Lee can be contacted via phone (620) 235-1377.

Contact Information

Primary practice address
1011 N Highway 69 Frontenac KS 66763-8100
Phone: (620) 235-1377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-44000 Kansas

Profile Details

NPI number 1154884799
LBN Legal business name Bonzo, Dustin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2019
Last updated Jul 29th, 2022 - about 2 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.

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