Bahr, Jennifer Marie

Bahr, Jennifer Marie is an individual health care provider with primary practice located at 2817 New Pinery Rd Divine Savior Healthcare, Inc., Portage WI 53901-9240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bahr, Jennifer Marie can be contacted via phone (608) 742-4131.

Contact Information

Primary practice address
2817 New Pinery Rd Divine Savior Healthcare, Inc. Portage WI 53901-9240
Fax: (608) 745-5173
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53287-020 Wisconsin

Profile Details

NPI number 1336315324
LBN Legal business name Bahr, Jennifer Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jan 30th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336315324 NPPES
Wisconsin MEDICAID 1336315324

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