| LCA CASE NUMBER | I-200-20227-769375 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-14 |
| DECISION DATE | 2020-08-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician - Nephrology |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-09-11 |
| END DATE | 2023-09-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Holzer Clinic, LLC |
| EMPLOYER ADDRESS1 | 90 Jackson Pike |
| EMPLOYER CITY | Gallipolis |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45631 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17404463263 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Siders |
| EMPLOYER POC FIRST NAME | Mandy |
| EMPLOYER POC MIDDLE NAME | Dawn |
| EMPLOYER POC JOB TITLE | Physician Practice Integration, Retention, Locum Recruitment |
| EMPLOYER POC ADDRESS1 | 100 Jackson Pike |
| EMPLOYER POC CITY | Gallipolis |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45631 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17404463263 |
| EMPLOYER POC EMAIL | msiders@holzer.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hoyt |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Wayne |
| AGENT ATTORNEY ADDRESS1 | 200 Civic Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144622650.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mhoyt@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 100 Jackson Pike |
| LCA CASE WORKLOC1 CITY | Gallipolis |
| WORKSITE COUNTY | GALLIA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45631 |
| LCA CASE WAGE RATE FROM | 70.4 |
| LCA CASE WAGE RATE TO | 296.79 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 41.87 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 8 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
