Healthcare Provider Details
I. General information
NPI: 1780518423
Provider Name (Legal Business Name): GIGABITE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1605 OLIVE ST
EVANSVILLE IN
47714-1113
US
IV. Provider business mailing address
1605 OLIVE ST
EVANSVILLE IN
47714-1113
US
V. Phone/Fax
- Phone: 81-724-1278
- Fax:
- Phone: 817-241-2781
- Fax: 817-241-2781
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CASEY
SHAWN
HILL
Title or Position: MD
Credential: MD
Phone: 817-241-2781