| LCA CASE NUMBER | I-200-22133-171078 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-13 |
| DECISION DATE | 2022-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-29 |
| END DATE | 2025-07-28 |
| 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 | Mille Lacs Health System |
| EMPLOYER ADDRESS1 | 200 Elm Street North |
| EMPLOYER ADDRESS2 | P.O. Box A |
| EMPLOYER CITY | Onamia |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56359 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13205323154 |
| NAICS CODE | 813910 |
| EMPLOYER POC LAST NAME | Fossand |
| EMPLOYER POC FIRST NAME | Becky |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 200 Elm Street North |
| EMPLOYER POC ADDRESS2 | P.O. Box A |
| EMPLOYER POC CITY | Onamia |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56359-0807 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13205322584 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Goldenberg |
| AGENT ATTORNEY FIRST NAME | Sonseere |
| AGENT ATTORNEY MIDDLE NAME | Henton |
| AGENT ATTORNEY ADDRESS1 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123057767 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 200 Elm Street North |
| LCA CASE WORKLOC1 CITY | Onamia |
| WORKSITE COUNTY | MILLE LACS |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56359 |
| LCA CASE WAGE RATE FROM | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 71656 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
