Organization
JEFFERSON COUNTY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHANE LUNDERGAN D. C. (DOCTOR)
(812) 265-6141
Entity
Organization
Contact information
Practice address
110 HOLT DR, MADISON, IN 47250
(812) 265-6141
(812) 265-6318
Mailing address
110 HOLT DR, MADISON, IN 47250
(812) 265-6141
(812) 265-6318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001796
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210323
ANTHEM PROVIDER ID
IN
01
—
5462620
AETNA PROVIDER ID
IN
Enumeration date
05/17/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us