Provider Demographics
NPI:1306266093
Name:STAIRS, CHRISTINE BAYT (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BAYT
Last Name:STAIRS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 W 2ND ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-3240
Mailing Address - Country:US
Mailing Address - Phone:812-996-5950
Mailing Address - Fax:812-996-5951
Practice Address - Street 1:695 W 2ND ST STE 2A
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3240
Practice Address - Country:US
Practice Address - Phone:812-996-5950
Practice Address - Fax:812-996-5951
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IN01083877A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program