Provider Demographics
NPI:1417920885
Name:DOBERT LLC
Entity Type:Organization
Organization Name:DOBERT LLC
Other - Org Name:ALERT MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-724-6554
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:IMLAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48444-0091
Mailing Address - Country:US
Mailing Address - Phone:810-724-6554
Mailing Address - Fax:810-724-6551
Practice Address - Street 1:325 E CAPAC ROAD
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444
Practice Address - Country:US
Practice Address - Phone:810-724-6554
Practice Address - Fax:810-724-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4359853Medicaid
MI4359853Medicaid