# BLUE DOT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639776172
- **Authorized official:** SHERRI BLACK (OWNER)
- **Authorized official phone:** (231) 457-7408

## Contact information

- **Practice address:** 370 ROBERTS ST, MUSKEGON, MI 49442-1363
- **Practice address phone:** (231) 457-7408
- **Mailing address:** PO BOX 103, MUSKEGON, MI 49443-0103
- **Mailing address phone:** (231) 457-7408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2020
- **Last updated:** 10/07/2020