Provider Demographics
NPI:1396426268
Name:MCELROY, GILBERT
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:
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 1:25927 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1628
Mailing Address - Country:US
Mailing Address - Phone:440-310-0731
Mailing Address - Fax:
Practice Address - Street 1:25927 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-1628
Practice Address - Country:US
Practice Address - Phone:440-310-0731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider