MEDICARE: DOBERT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417920885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOBERT LLC

Provider Business Mailing Address
First Line	:	PO BOX 91
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-0091
Country	:	US
Telephone Number	:	810-724-6554
Fax Number	:	810-724-6551

Provider Business Practice Location Address
First Line	:	325 E CAPAC ROAD
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444
Country	:	US
Telephone Number	:	810-724-6554
Fax Number	:	810-724-6551

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DONALD R CAPMAN
Credential	:
Telephone Number	:	810-724-6554

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/21/2022

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Directions to “DOBERT LLC ” Practice Location

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