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Contact Information

SARA J JUMPING EAGLE, MD
10 N. RIVER RD.
FORT YATES IHS HOSPITAL/CLINIC
FORT YATES, ND58538
 Phone: 701-854-3831
 Fax: 701-854-7399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SARA J JUMPING EAGLE · (Female)

NPI Number 1508865007
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2005
Last updated 12/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 11019
  • ND Medicaid 15044
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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