Individual provider · Type 1 NPI

Justin Matthew

Student in an Organized Health Care Education/Training Program · Fort Wayne, IN

NPI number 1316867161 Active

Practice location

2101 E Coliseum Blvd Ste 100
Fort Wayne, IN 46805-1499

Call (260) 257-6831 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316867161

Justin Matthew's National Provider Identifier is 1316867161, issued on Jul 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 20, 2026.