JACK FONDERWHITE LAC NPI 1225683279

NPI Information

  • NPI: 1225683279
  • Provider Name: JACK FONDERWHITE, LAC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 1010 S KING ST STE 217
    HONOLULU, HI
    ZIP 96814
  • Phone: (808) 593-7717

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NPI Details

Jack Fonderwhite, LAC is an acupuncturist in Honolulu, HI. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Jack Fonderwhite, LAC NPI is 1225683279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 S KING ST STE 217
HONOLULU, HI
ZIP 96814-703
Phone: (808) 593-7717

The enumeration date for this NPI number is 8/6/2019 and was last updated on 8/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturist1259HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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