<Unavail>

LBN: Machuca Medical Llc
<Unavail> is an health care organization with primary practice located at 8648 Old Troy Pike Ste A , Huber Heights OH 45424-1057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Machuca Medical Llc can be contacted via phone (937) 795-1101, or through Machuca, Jennifer Lynn via phone (937) 795-1101.

Contact Information

Primary practice address
8648 Old Troy Pike Ste A Huber Heights OH 45424-1057
Fax: (937) 795-1120
Website:
Authorized official contact:
Name: Machuca, Jennifer Lynn Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 92123 Ohio

Profile Details

NPI number 1053861369
LBN Legal business name Machuca Medical Llc
DBA Doing business as <Unavail>
Authorized official Machuca, Jennifer Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2016
Last updated Jul 6th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053861369 NPPES
Other 1053861369 GROUP NPI
MEDICAID CS1721200145 GROUP NPI
Other H59861 GROUP NPI
MEDICAID 0193739 GROUP NPI
Other 1669694246 GROUP NPI
Other H598960 GROUP NPI
MEDICAID CS1721200142 GROUP NPI
MEDICAID 2893301 GROUP NPI
Other MA4253051 GROUP NPI

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