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Contact Information

ETHAN T GOLDBERG, DO
3901 RAINBOW BLVD # MS 3007
KANSAS CITY, KS66160-4720
 Phone: 913-588-6045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ETHAN T GOLDBERG · (Male)

NPI Number 1942837414
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/25/2020
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 9412131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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