Jacks, Demetria Ileana Strauch
Jacks, Demetria Ileana Strauch is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Jacks, Demetria Ileana Strauch can be contacted via phone (336) 277-8800.Contact Information
Primary practice address
3333 Silas Creek Pkwy
Winston Salem NC 27103-3013
Phone: (336) 277-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME112135 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL31902 | South Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2015-01669 | North Carolina |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2015-01669 | North Carolina |
Profile Details
| NPI number | 1366670606 |
|---|---|
| LBN Legal business name | Jacks, Demetria Ileana Strauch |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Jul 11th, 2024 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366670606 | NPPES |
| Florida | MEDICAID | 007226100 |
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