Individual
MR. LUKE GERARD NELLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5175 E 300 S, WHITESTOWN, IN 46075-9591
(765) 335-6301
(317) 536-3591
Mailing address
4615 ROCKCRESS CT, ZIONSVILLE, IN 46077-8127
(317) 503-1654
(317) 536-3591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001548
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520470
ANTHEM
—
01
—
000000632914
BC/BS PIKE MEDICAL
IN
05
—
100465550A
—
IN
01
—
15D1069058
CLIA
IN
05
—
200856130
—
IN
01
—
5428035
AETNA
—
01
—
768544
CIGNA
—
Enumeration date
12/29/2005
Last updated
05/13/2026
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