| Lupo Chiropractic Life Center, P.c. | |
|
27850 Gratiot Ave, Roseville, MI 48066-4803 | |
| (586) 772-5876 | |
| (586) 772-1122 |
| Full Name | Lupo Chiropractic Life Center, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 27850 Gratiot Ave, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750428058 | NPI | - | NPPES |
| 950E001220 | Other | MI | BCBS MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Michigan) | Primary |
| 225100000X | Physical Therapist | (Michigan) | Secondary |
| 225700000X | Massage Therapist | (Michigan) | Secondary |
| Provider Name | Joseph Lupo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821154113 PECOS PAC ID: 1153317524 Enrollment ID: I20040421001451 |
| Provider Name | Jeffrey Joseph Lupo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851457139 PECOS PAC ID: 3173519550 Enrollment ID: I20040421001513 |
| Provider Name | Jessica D Lupo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568479350 PECOS PAC ID: 8325028327 Enrollment ID: I20040721000826 |
| Provider Name | Shahid A Khan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568609246 PECOS PAC ID: 4385794494 Enrollment ID: I20090611000381 |
| Provider Name | David C Mason |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164568523 PECOS PAC ID: 3870767452 Enrollment ID: I20111116000595 |
| Provider Name | Shawn J Wrubel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689933798 PECOS PAC ID: 0244486892 Enrollment ID: I20120814000328 |
| Provider Name | Adam Louis Palleschi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720452899 PECOS PAC ID: 0143511998 Enrollment ID: I20160624001686 |
| Provider Name | Victoria Amanda Nunley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275248114 PECOS PAC ID: 1951772490 Enrollment ID: I20230120001549 |
| Mailing Address | Practice Location Address |
|---|---|
| Lupo Chiropractic Life Center, P.c. 27850 Gratiot Ave, Roseville, MI 48066-4803 Ph: (586) 772-5876 | Lupo Chiropractic Life Center, P.c. 27850 Gratiot Ave, Roseville, MI 48066-4803 Ph: (586) 772-5876 |
Mr. David S. Wendel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25710 Kelly Road, Suite 2, Roseville, MI 48066 Phone: 586-445-8032 Fax: 586-359-6468 | |
Dr. Ramona Pleva, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27850 Gratiot Ave, Roseville, MI 48066 Phone: 586-772-5876 Fax: 586-772-1122 | |
Dr. Robert Anthony Selvaggi, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19361 E 10 Mile Rd, Roseville, MI 48066 Phone: 313-605-0973 | |
Selvaggi Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 19361 E 10 Mile Rd, Roseville, MI 48066 Phone: 313-605-0973 | |
Tutak Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18600 Florence St., Suite B5, Roseville, MI 48066 Phone: 586-771-3888 Fax: 586-771-1595 | |
Dr. Jessica De Marie Lupo, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27850 Gratiot Ave, Roseville, MI 48066 Phone: 586-772-5876 Fax: 586-772-1122 | |
Dr. Shahid Ali Khan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27850 Gratiot Ave, Roseville, MI 48066 Phone: 586-772-5876 Fax: 586-772-1122 |