Healthcare Provider Details

I. General information

NPI: 1457294662
Provider Name (Legal Business Name): ISAAC CHRISTOPHER COSGRAVE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 HALIFAX CT
SPRINGFIELD OH
45503-2104
US

IV. Provider business mailing address

2032 HALIFAX CT
SPRINGFIELD OH
45503-2104
US

V. Phone/Fax

Practice location:
  • Phone: 937-926-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: