Provider Demographics
NPI:1639674344
Name:MCELWEE, DAVID LEE (MS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:MCELWEE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 FRESNO RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-5122
Mailing Address - Country:US
Mailing Address - Phone:302-507-2742
Mailing Address - Fax:
Practice Address - Street 1:1422 FRESNO RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-5122
Practice Address - Country:US
Practice Address - Phone:302-507-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator