Lundergan, Michael Shane

Lundergan, Michael Shane is an individual health care provider with primary practice located at 110 Holt Dr , Madison IN 47250-1670. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lundergan, Michael Shane can be contacted via phone (812) 265-6141.

Contact Information

Primary practice address
110 Holt Dr Madison IN 47250-1670
Phone: (812) 265-6141
Fax: (812) 265-6318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001796 Indiana

Profile Details

NPI number 1386758605
LBN Legal business name Lundergan, Michael Shane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386758605 NPPES
Indiana Other 5462620 AETNA PROVIDER ID
Indiana Other 000000210324 AETNA PROVIDER ID

Popular Providers