Individual
DR. JENNIFER LYNN MACHUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8648 OLD TROY PIKE, STE A, HUBER HEIGHTS, OH 45424-1057
(937) 795-1101
(937) 795-1120
Mailing address
8648 OLD TROY PIKE STE A, HUBER HEIGHTS, OH 45424-1057
(937) 795-1101
(937) 795-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.092123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193739
—
OH
01
—
1053861369
GROUP NPI
—
05
—
2893301
—
OH
05
—
CS1721200145
—
OH
Enumeration date
05/03/2007
Last updated
05/13/2026
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