| B S Bonyo Do & Associates Inc | |
|
1569 Vernon Odom Blvd Akron OH 44320-4089 | |
| (330) 867-7544 | |
| (330) 867-7434 |
| Full Name | B S Bonyo Do & Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1569 Vernon Odom Blvd, Akron, Ohio |
| Authorized Official Name and Position | Benson S. Bonyo (OWNER) |
| Authorized Official Contact | 3308677544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B S Bonyo Do & Associates Inc 1569 Vernon Odom Blvd Akron OH 44320-4089 Ph: (330) 867-7544 | B S Bonyo Do & Associates Inc 1569 Vernon Odom Blvd Akron OH 44320-4089 Ph: (330) 867-7544 |
| NPI Number | 1154543213 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 3870498744 |
|---|---|
| Medicare Enrollment ID | O20031204000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154543213 | NPI | - | NPPES |
| 2735562 | Medicaid | OH | |
| 2314221 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34007305B (Ohio) | Primary |
| Provider Name | Benson Sylvance Bonyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386725125 PECOS PAC ID: 0749176774 Enrollment ID: I20040226000658 |
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