Healthcare Provider Details

I. General information

NPI: 1689537888
Provider Name (Legal Business Name): ST. SHARBEL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S PENNSYLVANIA ST STE B
ENGLEWOOD CO
80113-3753
US

IV. Provider business mailing address

2459 S CHASE LN
LAKEWOOD CO
80227-3902
US

V. Phone/Fax

Practice location:
  • Phone: 720-262-2462
  • Fax: 720-330-5765
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN BOACKLE CHILDRESS
Title or Position: CEO
Credential: MD
Phone: 720-231-4567