Provider Demographics
NPI:1861572059
Name:ZEABARI, SAMUEL GEORGE (DC)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:GEORGE
Last Name:ZEABARI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 DON WAYNE DR
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3030
Mailing Address - Country:US
Mailing Address - Phone:810-358-7892
Mailing Address - Fax:
Practice Address - Street 1:1126 DON WAYNE DR
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446
Practice Address - Country:US
Practice Address - Phone:810-358-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4692228Medicaid
MI1000490OtherHEALTH PLUS
MI1000490OtherHEALTH PLUS