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Contact Information

JOSEPH LUPO, D.C.
27850 GRATIOT AVE
ROSEVILLE, MI48066-4803
 Phone: 586-772-5876
 Fax: 586-772-1122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Occupational Health

111NX0100X 35 Chiropractic
 

Pediatric Chiropractor

111NP0017X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOSEPH LUPO · (Male)

NPI # 1821154113
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/29/2006
Last updated 07/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2301002932
  • MI Medicaid 4803238
  • Other 791350714 RAILROAD MEDICARE
  • MI Other 950Q262880 BLUE CARE NETWORK GROUP #
  • MI Other 950Q26288 BLUE CROSS PROVIDER CODE
  • MI Other 152233 GREAT LAKES NUMBER
  • MI Other 40571 HEALTH PLAN OF MICHIGAN
  • MI Other 2301002932 LICENSE NUMBER
  • MI Other JL002932 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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