Provider Demographics
NPI:1558926865
Name:MCELROY, HARRY DAVID
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:DAVID
Last Name:MCELROY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:MC CLELLANDTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15458-0307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:803 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MCCLELLANDTOWN
Practice Address - State:PA
Practice Address - Zip Code:15458
Practice Address - Country:US
Practice Address - Phone:724-737-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176P00000XOther Service ProvidersFuneral DirectorGroup - Single Specialty