Healthcare Provider Details

I. General information

NPI: 1396695656
Provider Name (Legal Business Name): DOEMAN GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 KEELY DR
ROSEVILLE CA
95678-6129
US

IV. Provider business mailing address

PO BOX 183
ROSEVILLE CA
95678-0183
US

V. Phone/Fax

Practice location:
  • Phone: 916-740-8205
  • Fax:
Mailing address:
  • Phone: 916-740-8205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: PAUL DICKENS DOE
Title or Position: DIRECTOR
Credential:
Phone: 279-977-5796