| LCA CASE NUMBER | I-200-23234-285915 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-22 |
| DECISION DATE | 2023-08-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-09-11 |
| END DATE | 2026-09-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Johnson Memorial Health Services |
| EMPLOYER ADDRESS1 | 1294 Locust Street |
| EMPLOYER CITY | Dawson |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56232 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13203122101 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Jacobson |
| EMPLOYER POC FIRST NAME | Kristin |
| EMPLOYER POC MIDDLE NAME | Kay |
| EMPLOYER POC JOB TITLE | CEO/Administrator |
| EMPLOYER POC ADDRESS1 | 1282 Walnut Street |
| EMPLOYER POC CITY | Dawson |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56232 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13203122101 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kildow |
| AGENT ATTORNEY FIRST NAME | Jeanne |
| AGENT ATTORNEY ADDRESS1 | 3950 IDS Center |
| AGENT ATTORNEY ADDRESS2 | 80 South 8th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123210082 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Borene Law Firm, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1294 Locust Street |
| LCA CASE WORKLOC1 CITY | Dawson |
| WORKSITE COUNTY | LAC QUI PARLE |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56232 |
| LCA CASE WAGE RATE FROM | 115 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 115 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
