Jeffrey Joseph Lupo in Roseville - Pediatric Chiropractor

Jeffrey Joseph Lupo - NPI 1851457139

Jeffrey Joseph Lupo is a Pediatric Chiropractor in Roseville, Michigan. Jeffrey Joseph Lupo practices all healthcare services and medical treatments related to Pediatric Chiropractor. The NPI Number for Jeffrey Joseph Lupo is 1851457139. The last update date is 2011-06-08.

Jeffrey Joseph 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 Jeffrey Joseph Lupo is 27850 Gratiot Ave, Roseville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Joseph Lupo
Address 27850 Gratiot Ave, Roseville, Michigan
Phone Number 5867725876
Fax Number 5867721122
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1851457139
Provider Enumeration Date 2006-12-29
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 Pediatric Chiropractor
Taxonomy 111Np0017X
Licence No 2301008227
Definition:
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, compr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
23692 MI HEALTH PLAN OF MICHIGAN
139635 MI GREAT LAKES NUMBER
(NPI #) MI COVENTRY / OMNICARE
4423140 MI --
P00011506 MI RAIL ROAD NUMBER
JL008227 MI LICENSE NUMBER
950G410360 MI BLUE CROSS PROVIDER CODE

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FAQs about Jeffrey Joseph Lupo

What is the Jeffrey Joseph Lupo's unique identification number?

The Jeffrey Joseph Lupo has been assigned the NPI (National Provider Identifier) Number 1851457139 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jeffrey Joseph Lupo?

The Jeffrey Joseph Lupo is physically situated at 27850 Gratiot Ave, in the city of Roseville, state of MI, with the postal code 480664803.

What is Jeffrey Joseph Lupo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jeffrey Joseph Lupo's specialized field of practice is Pediatric Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111Np0017X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851457139 to Jeffrey Joseph Lupo?

The Jeffrey Joseph Lupo received its 1851457139 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.

As of what date was the information regarding Jeffrey Joseph Lupo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffrey Joseph Lupo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-08.

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