National Provider Identifier Database

ICCO LLC
Primary Care


Contact Information

ICCO LLC
2710 WILLAMETTE STREET
EUGENE, OR97405
Phone: 541-505-7317
Fax: 541-505-7486
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for ICCO LLC

NPI Number 1235672478
Legal business name
LBN
ICCO LLC
Authorized official ERICA HAUSER - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/21/2016
Last updated 06/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Other: DP1360 RR MEDICARE PTAN

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.

Reviews for ICCO LLC

There are currently no reviews for ICCO LLC


NPIdb - Home
v2.201