MICHAEL SHANE LUNDERGAN D.C. NPI 1386758605

NPI Information

  • NPI: 1386758605
  • Provider Name: MICHAEL SHANE LUNDERGAN, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 110 HOLT DR
    MADISON, IN
    ZIP 47250
  • Phone: (812) 265-6141

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NPI Details

Michael Shane Lundergan, D.C. is a chiropractor in Madison, IN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Michael Shane Lundergan, D.C. NPI is 1386758605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 HOLT DR
MADISON, IN
ZIP 47250-670
Phone: (812) 265-6141
Fax: (812) 265-6318

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor08001796INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15462620OTHERINDIANAAETNA PROVIDER ID
2000000210324OTHERINDIANAANTHEM PROVIDER ID
3192150MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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