National Provider Identifier Database

JEFFREY J LUPO, D.C. – NPI #1851457139
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

JEFFREY J LUPO, D.C.
27850 GRATIOT AVE
ROSEVILLE, MI48066-4803
Phone: 586-772-5876
Fax: 586-772-1122
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Independent Medical Examiner 111NI0013X
Occupational Health 111NX0100X
Pediatric Chiropractor 111NP0017X
Physical Therapist 225100000X
Rehabilitation 111NR0400X

* Indicates primary specialty

NPI Profile & details for JEFFREY J LUPO

NPI Number 1851457139
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/29/2006
Last updated 06/08/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 2301008227
  • MI Medicaid: 4423140
  • MI Other: 950G410360 BLUE CROSS PROVIDER CODE
  • MI Other: (NPI #) COVENTRY / OMNICARE
  • MI Other: 139635 GREAT LAKES NUMBER
  • MI Other: 23692 HEALTH PLAN OF MICHIGAN
  • MI Other: JL008227 LICENSE NUMBER
  • MI Other: P00011506 RAIL ROAD NUMBER
Hospital affiliation n/a

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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