| LCA CASE NUMBER | I-200-20106-489898 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-15 |
| DECISION DATE | 2020-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-23 |
| END DATE | 2023-07-22 |
| 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 | Wentworth-Douglass Physician Corporation |
| TRADE NAME DBA | Wentworth Health Partners |
| EMPLOYER ADDRESS1 | Wentworth-Douglass Hospital, 789 Central Ave. |
| EMPLOYER CITY | Dover |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 3820 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16036096925 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Cass |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | Wentworth-Douglass Hospital |
| EMPLOYER POC ADDRESS2 | 789 Central Ave. |
| EMPLOYER POC CITY | Dover |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 3820 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16036096925 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Winer |
| AGENT ATTORNEY FIRST NAME | Steven |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 45 S. Main Street, PO Box 3550 |
| AGENT ATTORNEY CITY | Concord |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03302-3550 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032239152.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Orr & Reno P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | WDH Internal Medicine |
| WORKSITE ADDRESS2 | 10 Members Way |
| LCA CASE WORKLOC1 CITY | Dover |
| WORKSITE COUNTY | DOVER CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3820 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| 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 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Vermette |
| PREPARER FIRST NAME | Robin |
| PREPARER BUSINESS NAME | Orr & Reno P.A. |
| PREPARER EMAIL | [email protected] |
