| LCA CASE NUMBER | I-200-20069-388577 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-09 |
| DECISION DATE | 2020-03-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician 20-002 |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-01 |
| END DATE | 2023-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Summit Physician Services |
| TRADE NAME DBA | WellSpan Summit Physician Services |
| EMPLOYER ADDRESS1 | 785 Fifth Avenue |
| EMPLOYER ADDRESS2 | Suite 3 |
| EMPLOYER CITY | Chambersburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172176954 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hopper |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC JOB TITLE | Project Manager |
| EMPLOYER POC ADDRESS1 | 785 Fifth Avenue |
| EMPLOYER POC ADDRESS2 | Suite 3 |
| EMPLOYER POC CITY | Chambersburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17172176954 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Nguyen |
| AGENT ATTORNEY FIRST NAME | Thu |
| AGENT ATTORNEY MIDDLE NAME | Thi |
| AGENT ATTORNEY ADDRESS1 | 17330 Preston Road |
| AGENT ATTORNEY ADDRESS2 | Suite 102B |
| AGENT ATTORNEY CITY | DALLAS |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75252 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19726855660.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Thu Nguyen, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 112 N. Seventh Street |
| LCA CASE WORKLOC1 CITY | Chambersburg |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17201 |
| LCA CASE WAGE RATE FROM | 275000.0 |
| LCA CASE WAGE RATE TO | 275009.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bernal |
| PREPARER FIRST NAME | Tracy |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Law Office of Thu Nguyen, PLLC |
| PREPARER EMAIL | [email protected] |
