Provider Demographics
NPI:1760854103
Name:STARLIPER, JOAN B (MS RDN LD)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:B
Last Name:STARLIPER
Suffix:
Gender:F
Credentials:MS RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 FOUNDATION WAY
Mailing Address - Street 2:SUITE 3800
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401
Mailing Address - Country:US
Mailing Address - Phone:304-596-6839
Mailing Address - Fax:304-596-5799
Practice Address - Street 1:2000 FOUNDATION WAY
Practice Address - Street 2:SUITE 3800
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-596-6839
Practice Address - Fax:304-596-5799
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV699133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered