| LCA CASE NUMBER | I-200-21221-509751 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-09 |
| DECISION DATE | 2021-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician (Internist/Geriatrician) |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-18 |
| END DATE | 2024-10-17 |
| 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 | Family Health Services of Darke County, Inc. |
| EMPLOYER ADDRESS1 | 5735 Meeker Road |
| EMPLOYER CITY | Greenville |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45331 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19375489680 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Pollick |
| EMPLOYER POC FIRST NAME | Jared |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 5735 Meeker Road |
| EMPLOYER POC CITY | Greenville |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45331 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19375483806 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jacob |
| AGENT ATTORNEY FIRST NAME | Katie |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 255 E 5th Street / Ste 1900 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15139778591 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dinsmore & Shohl LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Indiana |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5735 Meeker Road |
| LCA CASE WORKLOC1 CITY | Greenville |
| WORKSITE COUNTY | DARKE |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45331 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 126214 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
