Provider Demographics
NPI:1053318352
Name:SLABBERT & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:SLABBERT & ASSOCIATES, INC.
Other - Org Name:AVAILABLE MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAAN
Authorized Official - Middle Name:JOHANNES
Authorized Official - Last Name:SLABBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-452-6362
Mailing Address - Street 1:PO BOX 11137
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72917-1137
Mailing Address - Country:US
Mailing Address - Phone:479-452-6362
Mailing Address - Fax:479-484-5652
Practice Address - Street 1:7320 ROGERS AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4166
Practice Address - Country:US
Practice Address - Phone:479-452-6362
Practice Address - Fax:479-484-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARNOT REQUIRED207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F107Medicare ID - Type Unspecified