| LCA CASE NUMBER | I-200-20065-380308 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-05 |
| DECISION DATE | 2020-03-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Emergency Medicine) |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-04-06 |
| END DATE | 2021-12-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Joseph Hospital |
| EMPLOYER ADDRESS1 | 360 Broadway |
| EMPLOYER CITY | Bangor |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12079071000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wood, Jr., MD |
| EMPLOYER POC FIRST NAME | William |
| EMPLOYER POC JOB TITLE | Vice President Medical Affairs |
| EMPLOYER POC ADDRESS1 | 360 Broadway |
| EMPLOYER POC CITY | Bangor |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 4401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12079071300 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Raynes |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | PO Box 1210 |
| AGENT ATTORNEY CITY | Bangor |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04402-1210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12079470111.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Eaton Peabody |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 360 Broadway |
| LCA CASE WORKLOC1 CITY | Bangor |
| WORKSITE COUNTY | BANGOR CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4401 |
| LCA CASE WAGE RATE FROM | 220.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 83.91 |
| PW UNIT OF PAY | Hour |
| 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 |
