Provider Demographics
NPI:1811064249
Name:TAGER, AUBRY (DC)
Entity type:Individual
Prefix:DR
First Name:AUBRY
Middle Name:
Last Name:TAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-0125
Mailing Address - Country:US
Mailing Address - Phone:802-893-1070
Mailing Address - Fax:802-893-0668
Practice Address - Street 1:165 ROUTE 7 S
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-3605
Practice Address - Country:US
Practice Address - Phone:802-893-1070
Practice Address - Fax:802-893-0668
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0060001147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1151859OtherCIGNA PROVIDER ID
VTTAGE00068697OtherBLUE CROSS BLUE SHIELD
VTOVN3826Medicaid
VTOVN3826Medicaid