Provider Demographics
NPI:1750472239
Name:MCELVANY, DAVID ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:MCELVANY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 GRECADE ST
Mailing Address - Street 2:SUITE 103-6
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8710
Mailing Address - Country:US
Mailing Address - Phone:336-510-0510
Mailing Address - Fax:
Practice Address - Street 1:1118 GRECADE ST
Practice Address - Street 2:SUITE 103-6
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8710
Practice Address - Country:US
Practice Address - Phone:336-510-0510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB727111N00000X
NC4005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV32503Medicare ID - Type Unspecified
NVU76842Medicare UPIN