# MATTHEW J LUNDEBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275594350
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3069 | OH | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 09/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000123010 | ANTHEM BC/BS | OH |
| 05 | — | 2186638 | — | OH |
| 01 | — | 2534578 | AETNA | OH |
| 01 | — | 3069C-05 | HUMANA | OH |
| 01 | — | 311727481026 | CARESOURCE | OH |
| 01 | — | P00126671 | RAILROAD MEDICARE | OH |