| LCA CASE NUMBER | I-200-19347-197134 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-13 |
| DECISION DATE | 2019-12-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ADVANCED PRACTICE PROVIDER |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-15 |
| END DATE | 2023-05-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PREVEA CLINIC, INC. |
| EMPLOYER ADDRESS1 | 2710 EXECUTIVE DRIVE |
| EMPLOYER CITY | GREEN BAY |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18002363030 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | RAI |
| EMPLOYER POC FIRST NAME | ASHOK |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS1 | 2710 EXECUTIVE DRIVE |
| EMPLOYER POC ADDRESS2 | SUITE 201 |
| EMPLOYER POC CITY | GREEN BAY |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18002363030 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | LACY |
| AGENT ATTORNEY FIRST NAME | GEOFFREY |
| AGENT ATTORNEY MIDDLE NAME | ALAN |
| AGENT ATTORNEY ADDRESS1 | 205 DOTY STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 201 |
| AGENT ATTORNEY CITY | GREEN BAY |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18448330824.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | STRANG PATTESON RENNING LEWIS & LACY S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | WISCONSIN SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2502 SOUTH ASHLAND AVENUE |
| LCA CASE WORKLOC1 CITY | GREEN BAY |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54304 |
| LCA CASE WAGE RATE FROM | 91000.0 |
| LCA CASE WAGE RATE TO | 105000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90085.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | N/A... |
