MEDICARE: JOHN J ROCKAS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	007726	IA

General Provider Information

NPI Number	:	1376916320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN J ROCKAS PLLC

Provider Business Mailing Address
First Line	:	7546 HICKMAN RD
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-4621
Country	:	US
Telephone Number	:	515-210-9976
Fax Number	:	515-254-0300

Provider Business Practice Location Address
First Line	:	7546 HICKMAN RD
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-4621
Country	:	US
Telephone Number	:	515-210-9976
Fax Number	:	515-254-0300

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. JOHN J ROCKAS
Credential	:	D.C.
Telephone Number	:	515-210-9976

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	03/02/2016

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