Search › Ohio › 208D00000X
Jonah Costello
NPI 1770334336 · on the registry since 2024
Practice
- Address
- 4881 Sugar Maple Dr
Dayton, OH 45433 - Phone
- (937) 257-9926
- Organisation at this address
- Dfas-Jfll/In
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 390200000X
- Licence states on file
- WI, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio