Provider Demographics
NPI:1447642715
Name:PHYSICIAN ASSETS RETENTION
Entity type:Organization
Organization Name:PHYSICIAN ASSETS RETENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:TERRANCE
Authorized Official - Last Name:GREENIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-751-6972
Mailing Address - Street 1:234 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2430
Mailing Address - Country:US
Mailing Address - Phone:513-751-6972
Mailing Address - Fax:
Practice Address - Street 1:234 FOREST AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2430
Practice Address - Country:US
Practice Address - Phone:513-751-6972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health