Provider Demographics
NPI:1952111064
Name:MARCDONARD, CHO
Entity type:Individual
Prefix:
First Name:CHO
Middle Name:
Last Name:MARCDONARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 OLDE STATION CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-7648
Mailing Address - Country:US
Mailing Address - Phone:513-570-7062
Mailing Address - Fax:
Practice Address - Street 1:11875 SHENANDOAH TRCE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-7115
Practice Address - Country:US
Practice Address - Phone:513-479-3685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker