Machuca, Jennifer Lynn

Machuca, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 8648 Old Troy Pike Ste A, Huber Heights OH 45424-1057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Machuca, Jennifer Lynn can be contacted via phone (937) 795-1101.

Contact Information

Primary practice address
8648 Old Troy Pike Ste A Huber Heights OH 45424-1057
Phone: (937) 795-1101
Fax: (937) 795-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.092123 Ohio

Profile Details

NPI number 1669694246
LBN Legal business name Machuca, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 6th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669694246 NPPES
Ohio MEDICAID 0193739
Ohio MEDICAID 2893301
Ohio Other 1053861369
Ohio MEDICAID CS1721200145

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