LUPO CHIROPRACTIC LIFE CENTER, P.C. (NPI# 1750428058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750428058 |
| Entity Type | Organization |
| Organization Name | LUPO CHIROPRACTIC LIFE CENTER, P.C. |
| Practice Address |
27850 Gratiot Ave Roseville MI 48066-4803 |
| Practice Telephone | 5867725876 |
| Practice Fax Number | 5867721122 |
| Mailing Telephone | 5867725876 |
| Mailing Fax Number | 5867721122 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-05-07 |
| Authorized Official Name | DR. JOSEPH LUPO (OWNER) |
| Authorized Official Telephone | 5867725876 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225100000X | Physical Therapist | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 111N00000X | Chiropractor | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MI | 950E001220 | 01 |
| Street Address |
27850 GRATIOT AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568479350 | Jessica De Marie Lupo | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2006-08-02 |
| 1770020943 | Shannon Huizdos | Massage Therapist | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2017-01-26 |
| 1720452899 | Adam Louis Palleschi | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2015-11-30 |
| 1154798981 | Ramona Pleva | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2015-08-27 |
| 1720472301 | Wayne Park | Mechanotherapist | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2015-03-23 |
| 1366788010 | Renee Hofmann | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-28 |
| 1194061838 | Jennifer Ann Vatalaro | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-28 |
| 1780920496 | Gretchen A Ouweleen | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-27 |
| 1205172038 | Kenton Kyle Maki | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-26 |
| 1568609246 | Shahid Ali Khan | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718547 | Alex Anders- Cook D.c., A Life Clinic Corporation | Chiropractor | 1435 E Roseville Pkwy, Roseville, CA 95661-3066 | 2019-12-26 |
| 1104469204 | Zachary Thomas Owens | Chiropractor | 201 Harding Blvd Ste J, Roseville, CA 95678-2814 | 2019-10-21 |
| 1649743220 | Platinum Health Regenerative Solutions, Pa | Chiropractor | 2780 Snelling Ave N Ste 202, Roseville, MN 55113-7126 | 2019-01-07 |
| 1841771730 | Sarah Renee Ward | Chiropractor | 1098 Melody Ln Ste 102, Roseville, CA 95678-5138 | 2018-08-28 |
| 1578042206 | Senyi Ly | Chiropractor | 2345 Rice St Ste 155, Roseville, MN 55113-3720 | 2018-08-13 |
| 1588150049 | Out and About Chiropractic Pllc | Chiropractor | 1484 Clarmar Ave W, Roseville, MN 55113-1608 | 2018-07-09 |
| 1497258388 | Hannah Elizabeth Flammang Wong | Chiropractor | 2235 Douglas Blvd Ste 520, Roseville, CA 95661-4266 | 2018-03-16 |
| 1518331065 | Zawada Chiropractic Inc | Chiropractor | 1441 Secret Ravine Pkwy Ste 140, Roseville, CA 95661-6044 | 2015-11-20 |
| 1811327182 | Chris King | Chiropractor | 2101 Lemontree Way, Roseville, CA 95747-8865 | 2013-11-22 |
| 1851665863 | Anupam Arman | Chiropractor | 1137 Smith Ln, 8, Roseville, CA 95661-4103 | 2012-03-08 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.