Provider Demographics
NPI:1710129739
Name:MACPHAIL CENTER FOR MUSIC
Entity Type:Organization
Organization Name:MACPHAIL CENTER FOR MUSIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BABCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-321-0100
Mailing Address - Street 1:501 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-2383
Mailing Address - Country:US
Mailing Address - Phone:612-321-0100
Mailing Address - Fax:612-333-1666
Practice Address - Street 1:501 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-2383
Practice Address - Country:US
Practice Address - Phone:612-321-0100
Practice Address - Fax:612-333-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty