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Dr. Jessica De Marie Lupo

Chiropractor Physical Therapist Occupational Health Pediatric Chiropractor and 2 more

27850 Gratiot Ave
Roseville , Michigan 48066-4803

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Dr. Jessica De Marie Lupo

Chiropractor Physical Therapist Occupational Health Pediatric Chiropractor and 2 more

27850 Gratiot Ave
Roseville , Michigan 48066-4803

(586) 772-1122 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Chiropractor
  • Independent Medical Examiner
  • Pediatric Chiropractor
  • Rehabilitation Chiropractor
  • Occupational Health
  • Physical Therapist

Languages spoken

  • English

Location

27850 Gratiot Ave Roseville , Michigan 48066-4803

First Address

  • Dr. Jessica De Marie Lupo
  • 27850 Gratiot Ave
  • Roseville, MI
  • Zip : 48066-4803
  • Fax : (586) 772-1122
  • Phone : (586) 772-5876

Second Address

  • Dr. Jessica De Marie Lupo
  • 27850 Gratiot Ave
  • Roseville, MI
  • Zip : 48066-4803
  • Fax : (586) 772-1122
  • Phone : (586) 772-5876

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FAQs


Where did Dr. Jessica De Marie Lupo attend graduate school?

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Where did Dr. Jessica De Marie Lupo do her residency?

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Where did Dr. Jessica De Marie Lupo do her fellowship?

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Is Dr. Jessica De Marie Lupo board certified?

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What type of doctor is Dr. Jessica De Marie Lupo

Chiropractor

In what state does Dr. Jessica De Marie Lupo practice in?

Michigan

Where is Dr. Jessica De Marie Lupo ’s practice located?

27850 Gratiot Ave , Roseville, Michigan, 48066-4803

What is Dr. Jessica De Marie Lupo ’s gender?

Female

Is Dr. Jessica De Marie Lupo a sole practitioner?

No

Is Dr. Jessica De Marie Lupo accepting new patients?

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What languages does Dr. Jessica De Marie Lupo speak?

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Does Dr. Jessica De Marie Lupo accept insurance?

Yes, Dr. Jessica De Marie Lupo accepts insurance

Does Dr. Jessica De Marie Lupo offers telemedicine?

Dr. Jessica De Marie Lupo has not indicated if she offers telemedicine

What is Dr. Jessica De Marie Lupo ’s professional license number?

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What is Dr. Jessica De Marie Lupo ’s NPI number?

1568479350

Does Dr. Jessica De Marie Lupo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111N00000X Chiropractor 2301008650 MI
N 111NI0013X Independent Medical Examiner 2301008650 MI
N 111NP0017X Pediatric Chiropractor 2301008650 MI
N 111NR0400X Rehabilitation Chiropractor 2301008650 MI
N 111NX0100X Occupational Health 2301008650 MI
N 225100000X Physical Therapist 2301008650 MI

National Provider Identifier

NPI 1568479350
Provider Name Dr. Jessica De Marie Lupo
First Address Roseville, MI 48066-4803
Second Address Roseville, MI 48066-4803
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 02/08/2006
Last Update Date 08/06/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
152231 GREAT LAKES HEALTH PLAN (01) MI
2301008650 BCBS MI (01) MI
40734 HEALTH PLAN OF MICHIGAN (01) MI
4803210 (05) MI
JL008650 BLUE CROSS BLUE SHIELD (01) MI
P00378726 RAILROAD MEDICARE (01) MI
V00170 (02) MI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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