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Contact Information

BRIAN HICKS, MLS
10 WENDELL AVENUE EXT STE 105
PITTSFIELD, MA01201-6283
 Phone: 413-464-7521
 Fax: 877-208-8430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Technologist

246QM0706X
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for BRIAN HICKS · (Male)

NPI # 1356689152
Status Active
Credentials MLS
Entity Individual
Enumeration date 01/29/2013
Last updated 03/08/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 25357723
  • MA License # 22D2047480
  • MA Other 1497096960 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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