Renninger, Carol
Renninger, Carol is an individual health care provider with primary practice located at 1960 N Date St , T Or C NM 87901-3701. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Renninger, Carol can be contacted via phone (505) 267-3088.Contact Information
Primary practice address
1960 N Date St
T Or C NM 87901-3701
Phone: (505) 267-3088
Fax: (505) 267-1747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | I05359 | New Mexico |
Profile Details
| NPI number | 1023001013 |
|---|---|
| LBN Legal business name | Renninger, Carol |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023001013 | NPPES |
| New Mexico | MEDICAID | 92320848 |
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