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

Caleb Goodwin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013839034

Caleb Goodwin is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

2101 E Coliseum Blvd
Fort Wayne, IN 46805-1445
Phone: (260) 257-6831
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 (IN)

Record details

NPI number1013839034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address9616 Butt Rd, Fort Wayne, IN 46818-9433

Other providers in Fort Wayne