Provider Demographics
NPI:1265110357
Name:CHAMBERS, RODNI LARUE (CDCA)
Entity type:Individual
Prefix:MR
First Name:RODNI
Middle Name:LARUE
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7051 DAYBREAK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-2610
Mailing Address - Country:US
Mailing Address - Phone:513-903-9639
Mailing Address - Fax:
Practice Address - Street 1:3002 HARRISON AVE UNIT 202
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5702
Practice Address - Country:US
Practice Address - Phone:513-903-9639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No171W00000XOther Service ProvidersContractor