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Contact Information

MARY BAHR, SACIT
201 S GLENRIDGE CT
APPLETON, WI54914-3905
 Phone: 920-731-3981
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARY BAHR · (Female)

NPI Number 1841616596
Status Active
Credentials SACIT
Entity Individual
Enumeration date 03/05/2014
Last updated 03/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 16972-130
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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