Provider Demographics
NPI:1982070454
Name:MAJORS, SYLVIA
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:MAJORS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 COLFAX AVE N
Mailing Address - Street 2:3443 COLFAX AVE NORTH
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2547
Mailing Address - Country:US
Mailing Address - Phone:612-227-9693
Mailing Address - Fax:612-529-8069
Practice Address - Street 1:3443 COLFAX AVE NORTH
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412
Practice Address - Country:US
Practice Address - Phone:612-227-9693
Practice Address - Fax:612-529-8069
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver