Individual
CRAIG E ISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-7600
Mailing address
PO BOX 631104, CINCINNATI, OH 45263-1104
(800) 365-3744
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35065126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353978
ANTHEM
OH
05
—
0969813
—
OH
05
—
64104185
—
KY
01
—
P00129451
RAILROAD MEDICARE
—
Enumeration date
10/19/2005
Last updated
12/06/2007
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