Provider Demographics
NPI:1801867007
Name:DOBERT LLC
Entity Type:Organization
Organization Name:DOBERT LLC
Other - Org Name:ALERT MEDICAL CARE
Other - Org Type:Other Name
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:989-835-9220
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:989-835-9220
Mailing Address - Fax:989-835-4330
Practice Address - Street 1:2600 N SAGINAW ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640
Practice Address - Country:US
Practice Address - Phone:989-835-9220
Practice Address - Fax:989-835-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
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
4236190001Medicare ID - Type Unspecified