Shore, Shirah

Shore, Shirah is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1339. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Shore, Shirah can be contacted via phone (570) 271-6089.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1339
Fax: (570) 271-6002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME97404 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD072956L Pennsylvania

Profile Details

NPI number 1154391019
LBN Legal business name Shore, Shirah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154391019 NPPES
Florida MEDICAID 2772191

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