Provider Demographics
NPI:1508417007
Name:M SQUARED NC LLC DBA ACTION FENCE
Entity Type:Organization
Organization Name:M SQUARED NC LLC DBA ACTION FENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WEICHBROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-576-0525
Mailing Address - Street 1:5507 RED OAK TRL
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-8411
Mailing Address - Country:US
Mailing Address - Phone:608-576-0525
Mailing Address - Fax:
Practice Address - Street 1:5507 RED OAK TRL
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8411
Practice Address - Country:US
Practice Address - Phone:608-271-7308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty