Lupo, Jessica De Marie

Lupo, Jessica De Marie is an individual health care provider with primary practice located at 27850 Gratiot Ave , Roseville MI 48066-4803. She recently has 6 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Chiropractic Providers / Occupational Health, Chiropractic Providers / Independent Medical Examiner, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Pediatric Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Lupo, Jessica De Marie can be contacted via phone (586) 772-5876.

Contact Information

Primary practice address
27850 Gratiot Ave Roseville MI 48066-4803
Phone: (586) 772-5876
Fax: (586) 772-1122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008650 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2301008650 Michigan
Chiropractic Providers / Occupational Health 111NX0100X 2301008650 Michigan
Chiropractic Providers / Independent Medical Examiner 111NI0013X 2301008650 Michigan
Chiropractic Providers / Rehabilitation 111NR0400X 2301008650 Michigan
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 2301008650 Michigan

Profile Details

NPI number 1568479350
LBN Legal business name Lupo, Jessica De Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jun 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568479350 NPPES
Michigan Other JL008650 BLUE CROSS BLUE SHIELD
Michigan Other 2301008650 BLUE CROSS BLUE SHIELD
Michigan Other P00378726 BLUE CROSS BLUE SHIELD
Michigan Other 40734 BLUE CROSS BLUE SHIELD
Michigan Other 152231 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4803210 BLUE CROSS BLUE SHIELD

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