Renneberg, Sam

Renneberg, Sam is an individual health care provider with primary practice located at 2200 1St Ave S , Minneapolis MN 55404-3401. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Renneberg, Sam can be contacted via phone (612) 235-4590.

Contact Information

Primary practice address
2200 1St Ave S Minneapolis MN 55404-3401
Phone: (612) 235-4590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 306080 Minnesota

Profile Details

NPI number 1164191177
LBN Legal business name Renneberg, Sam
Credentials BS, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2021
Last updated Sep 13th, 2021 - about 5 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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