Individual
DR. DAISY SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-4734
(717) 782-4727
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS-008002-L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
OS-008202-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01740401
CBC PROVIDER ID
PA
01
—
278630
HIGHMARK PROVIDER ID
PA
Enumeration date
02/27/2007
Last updated
08/31/2016
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