NPI Code Details Logo

NPI 1750202297

NPI 1750202297 : SUMMIT DIABETES CENTER, PLLC : MISSOULA, MT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750202297
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SUMMIT DIABETES CENTER, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/22/2026
-----------------------------------------------------
    Last Update Date     |    07/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3301 GREAT NORTHERN AVE STE 203 
-----------------------------------------------------
    City                 |    MISSOULA
-----------------------------------------------------
    State                |    MT
-----------------------------------------------------
    Zip                  |    59808-1575
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    406-531-7083
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3301 GREAT NORTHERN AVE STE 203 
-----------------------------------------------------
    City                 |    MISSOULA
-----------------------------------------------------
    State                |    MT
-----------------------------------------------------
    Zip                  |    59808-1575
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    406-531-7083
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PEDIATRIC NURSE PRACITIONER
-----------------------------------------------------
    Name                 |     CLAIRE ALEXANDRA STEINBERG 
-----------------------------------------------------
    Credential           |    CPNP-PC
-----------------------------------------------------
    Telephone            |    406-531-7083
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QD0401X
-----------------------------------------------------
    Taxonomy Name        |    Diabetology (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.