Justin Matthew
Justin Matthew is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2026.
- Licensed in
- IN
- In the registry since
- 2026
Practice location Address checks out
2101 E Coliseum Blvd Ste 100Fort Wayne, IN 46805-1499
Phone: (260) 257-6831
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (IN) |
|---|
Record details
| NPI number | 1316867161 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2026 |
| Last updated in NPPES | July 20, 2026 |
| Certification date | July 20, 2026 |
| Mailing address | 2101 E Coliseum Blvd Ste 100, Fort Wayne, IN 46805-1499 |
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