Individual
JESSE M SABIITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 1ST AVE. NW, KENMARE, ND 58746
(701) 385-4283
(701) 385-4282
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10658
ND
207R00000X
Internal Medicine Physician
44710
KY
208M00000X
Hospitalist Physician
2016-00142
NC
208M00000X
Hospitalist Physician
MD217211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729955
BCBS
KY
05
—
7100178620
—
KY
01
—
P00977424
RR MEDICARE
KY
Enumeration date
08/24/2007
Last updated
11/09/2023
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