Provider Demographics
NPI:1205185329
Name:MAJOR, ALICE JEAN (DO)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:JEAN
Last Name:MAJOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:JEAN
Other - Last Name:HENDERSHOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ESQ
Mailing Address - Street 1:9139 RIDGELINE BLVD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2333
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:9139 RIDGELINE BLVD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2333
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO31142084P0800X
CODR.00562022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO028436OtherKAISER COMMERCIAL NUMBER
CO59013567Medicaid
CO59013567Medicaid