Provider Demographics
NPI:1497354369
Name:ROCKS, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ROCKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 CHARLIES CT
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:DE
Mailing Address - Zip Code:19943-5278
Mailing Address - Country:US
Mailing Address - Phone:302-222-8626
Mailing Address - Fax:
Practice Address - Street 1:172 CHARLIES CT
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:DE
Practice Address - Zip Code:19943-5278
Practice Address - Country:US
Practice Address - Phone:302-222-8626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0055848163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool