| LCA CASE NUMBER | I-200-20084-429780 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-24 |
| DECISION DATE | 2020-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-10 |
| END DATE | 2023-08-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Redington-Fairview General Hospital |
| EMPLOYER ADDRESS1 | 46 Fairview Avenue |
| EMPLOYER CITY | Skowhegan |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4976 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12078582303 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Willett |
| EMPLOYER POC FIRST NAME | Richard |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 46 Fairview Avenue |
| EMPLOYER POC CITY | Skowhegan |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 4976 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12078582303 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Salvetti |
| AGENT ATTORNEY FIRST NAME | Jamie |
| AGENT ATTORNEY MIDDLE NAME | Lucinda |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 5279 |
| AGENT ATTORNEY CITY | Herndon |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850634.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 87 Mercer Road |
| LCA CASE WORKLOC1 CITY | Norridgewock |
| WORKSITE COUNTY | SOMERSET/BALD MOUNTAIN-UNORGANIZED TS |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4957 |
| LCA CASE WAGE RATE FROM | 190000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 153837.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Salvetti |
| PREPARER FIRST NAME | Jamie |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | The Salvetti Law Group, PLLC |
| PREPARER EMAIL | [email protected] |
