Provider Demographics
NPI:1184356198
Name:MCELROY, DANIEL LEE
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LEE
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 1:1107 FROST RD APT 304
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-4902
Mailing Address - Country:US
Mailing Address - Phone:216-278-4662
Mailing Address - Fax:
Practice Address - Street 1:1107 FROST RD APT 304
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-4902
Practice Address - Country:US
Practice Address - Phone:216-278-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator