Provider Demographics
NPI:1083898126
Name:ZABELIN, MICHAEL SVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SVEN
Last Name:ZABELIN
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 1:3014 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4010
Mailing Address - Country:US
Mailing Address - Phone:415-931-5000
Mailing Address - Fax:415-931-5080
Practice Address - Street 1:3014 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4010
Practice Address - Country:US
Practice Address - Phone:415-931-5000
Practice Address - Fax:415-931-5080
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0154460Medicare PIN