MEDICARE: DR. JOHN JOSEPH ROCKAS D.C.

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	:	1487083739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN JOSEPH ROCKAS D.C.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	02/12/2016

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