Provider Demographics
NPI:1235503301
Name:UHES, JAMES K (OTR CHT CSA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:K
Last Name:UHES
Suffix:
Gender:M
Credentials:OTR CHT CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HAGGERTY RD. STE 2190
Mailing Address - Street 2:LAKES MEDICAL CENTER
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323
Mailing Address - Country:US
Mailing Address - Phone:248-960-5604
Mailing Address - Fax:586-751-3505
Practice Address - Street 1:2300 HAGGERTY RD. STE 2190
Practice Address - Street 2:LAKES MEDICAL CENTER
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323
Practice Address - Country:US
Practice Address - Phone:248-960-5604
Practice Address - Fax:586-751-3505
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI989940225X00000X
MI1041100312225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist