Provider Demographics
NPI:1215673561
Name:321 FENCE INC.
Entity type:Organization
Organization Name:321 FENCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:PAUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-403-9961
Mailing Address - Street 1:1610 GREENLEAF RD
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-2207
Mailing Address - Country:US
Mailing Address - Phone:150-740-3996
Mailing Address - Fax:
Practice Address - Street 1:1610 GREENLEAF RD
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-2207
Practice Address - Country:US
Practice Address - Phone:150-740-3996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty