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

NPI Profile for Dr JEFFREY J LUPO in ROSEVILLE, MI.

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Contact Information

JEFFREY J LUPO, D.C.
27850 GRATIOT AVE
ROSEVILLE, MI  48066-4803
 Phone: 586-772-5876
 Fax: 586-772-1122
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Chiropractor

 111N00000X 35 Chiropractic
 

Independent Medical Examiner

 111NI0013X 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 JEFFREY J LUPO · (Male)

NPI # 1851457139
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/29/2006
Last updated 06/08/2011 - About 15 years ago
Sole proprietor 1 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(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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