Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Calvert John Costello

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962375022

Ian Calvert John Costello is a Student in an Organized Health Care Education/Training Program in Wright Patterson AFB, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone: (937) 257-6877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1962375022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 11, 2025
Mailing address2203 Zink Rd Apt 5, Beavercreek, OH 45324-9099

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