Healthcare Provider Details

I. General information

NPI: 1740199694
Provider Name (Legal Business Name): BANKCHRIS HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 RIDGELY AVE
PARKVILLE MD
21234-3316
US

IV. Provider business mailing address

9425 RIDGELY AVE
PARKVILLE MD
21234-3316
US

V. Phone/Fax

Practice location:
  • Phone: 443-570-0468
  • Fax:
Mailing address:
  • Phone: 443-570-0468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: BANKE OLUWOLE
Title or Position: DIRECTOR
Credential: CRNP
Phone: 443-570-0468