Provider Demographics
NPI:1912034851
Name:ROCKOW, JO ELLEN D (CST CFA)
Entity Type:Individual
Prefix:
First Name:JO ELLEN
Middle Name:D
Last Name:ROCKOW
Suffix:
Gender:F
Credentials:CST CFA
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Mailing Address - Street 1:105 FAIR ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-5017
Mailing Address - Country:US
Mailing Address - Phone:423-877-3005
Mailing Address - Fax:423-875-8338
Practice Address - Street 1:105 FAIR ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-5017
Practice Address - Country:US
Practice Address - Phone:423-877-3005
Practice Address - Fax:423-875-8338
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist