Jessica De Marie Lupo in Roseville - Chiropractor
Jessica De Marie Lupo - NPI 1568479350
Jessica De Marie Lupo is a Chiropractor in Roseville, Michigan. Jessica De Marie Lupo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jessica De Marie Lupo is 1568479350. The last update date is 2011-06-08.
Jessica De Marie Lupo's current location address is 27850 Gratiot Ave, Roseville, Michigan. You can contact this provider via phone number 5867725876 and fax number 5867721122. The mailing address for Jessica De Marie Lupo is 27850 Gratiot Ave, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica De Marie Lupo |
|---|---|
| Address | 27850 Gratiot Ave, Roseville, Michigan |
| Phone Number | 5867725876 |
| Fax Number | 5867721122 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1568479350 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2011-06-08 |
Provider Mailing Address Detail
| Address | 27850 Gratiot Ave |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480664803 |
| Phone Number | 5867725876 |
| Fax Number | 5867721122 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301008650 |
|
Definition: 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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JL008650 | MI | BLUE CROSS BLUE SHIELD | |
| 2301008650 | MI | BCBS MI | |
| P00378726 | MI | RAILROAD MEDICARE | |
| 40734 | MI | HEALTH PLAN OF MICHIGAN | |
| 152231 | MI | GREAT LAKES HEALTH PLAN | |
| 4803210 | MI | -- |
Post Comment/ Review Below
What is the Jessica De Marie Lupo's 1568479350?
The Jessica De Marie Lupo's NPI (National Provider Identifier) Number is 1568479350. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jessica De Marie Lupo is geographically located?
The Jessica De Marie Lupo is physically situated at the following location: 27850 Gratiot Ave, Roseville, MI, 480664803.
What is Jessica De Marie Lupo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica De Marie Lupo's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Jessica De Marie Lupo receive the assignment of its 1568479350 from the Centers for Medicare & Medicaid Services?
The Jessica De Marie Lupo was issued its 1568479350 by the Centers for Medicare & Medicaid Services on 2006-08-02.
As of what date were the details pertaining to Jessica De Marie Lupo last refreshed?
The information related to the Jessica De Marie Lupo, including its address, specialty, and other relevant details, was last updated on 2011-06-08.