Individual
MATTHEW J LUNDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6678 RIVERSIDE DR, DUBLIN, OH 43017-9503
(614) 660-5560
(614) 633-1134
Mailing address
5721 DRAGON WAY, CINCINNATI, OH 45227-4518
(513) 271-1233
(513) 271-4237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3069
OH
Other
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
Enumeration date
03/29/2006
Last updated
09/26/2023
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