Individual
MR. BRIAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MLS
Contact information
Practice address
10 WENDELL AVENUE EXT STE 105, PITTSFIELD, MA 01201-6283
(413) 464-7521
(877) 208-8430
Mailing address
10 WENDELL AVENUE EXT STE 105, PITTSFIELD, MA 01201-6283
(413) 464-7521
(877) 208-8430
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
25357723
—
291U00000X
Clinical Medical Laboratory
22D2047480
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497096960
NPI
MA
Enumeration date
01/29/2013
Last updated
03/08/2013
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