Flynn, Ethan Alexander

Flynn, Ethan Alexander is an individual health care provider with primary practice located at Lab Berkshire Med Ctr 725 North St, Pittsfield MA 01201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Flynn, Ethan Alexander can be contacted via phone (413) 447-2567.

Contact Information

Primary practice address
Lab Berkshire Med Ctr 725 North St Pittsfield MA 01201
Phone: (413) 447-2567
Fax: (413) 447-2097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 223784 Massachusetts

Profile Details

NPI number 1215963061
LBN Legal business name Flynn, Ethan Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215963061 NPPES
Massachusetts Other J28642 MASS BS/BS
Massachusetts MEDICAID 2101807 MASS BS/BS

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