NPI
Eden Sky Black
NPI 1538945423
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2023-09-06
- Last updated
- 2023-09-06
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 23200 Red Arrow Hwy
- City
- Mattawan MI
- Postal code
- 49071-7774
- Phone
- (269) 355-6621
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Mattawan, MI. 137 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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