Provider Demographics
NPI:1144360579
Name:MAJORS, ELLEN (PAC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:MAJORS
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BUSINESS PARK DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2988
Mailing Address - Country:US
Mailing Address - Phone:203-483-4580
Mailing Address - Fax:203-483-4581
Practice Address - Street 1:6 BUSINESS PARK DR
Practice Address - Street 2:SUITE 302
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2988
Practice Address - Country:US
Practice Address - Phone:203-483-4580
Practice Address - Fax:203-483-4581
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000432363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT592543Medicare UPIN