Renken, Matthew

Renken, Matthew is an individual health care provider with primary practice located at 19230 Evans St Nw , Elk River MN 55330-1573. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Renken, Matthew can be contacted via phone (612) 248-1455.

Contact Information

Primary practice address
19230 Evans St Nw Elk River MN 55330-1573
Phone: (612) 248-1455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4234 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1689147654
LBN Legal business name Renken, Matthew
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2019
Last updated Jun 11th, 2024 - about last year

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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