MEDICARE: ERIN BAHR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1609612183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN BAHR

Provider Business Mailing Address
First Line	:	2152 IRISH RD
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-8737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2152 IRISH RD
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-8737
Country	:	US
Telephone Number	:	309-238-1271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	08/22/2025

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Directions to “ ERIN BAHR ” Practice Location

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