| LCA CASE NUMBER | I-200-19275-067879 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-02 |
| DECISION DATE | 2019-10-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Hospitalist Nocturnist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-06 |
| END DATE | 2023-01-05 |
| 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 | WellSpan Medical Group |
| TRADE NAME DBA | WellSpan Health |
| EMPLOYER ADDRESS1 | 3501 Concord Road |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | York |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +17178512345 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Irwin |
| EMPLOYER POC FIRST NAME | Joshua |
| EMPLOYER POC JOB TITLE | Director of Physician Recruitment |
| EMPLOYER POC ADDRESS1 | 3501 Concord Road |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | York |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +17178516924 |
| EMPLOYER POC EMAIL | jirwin2@wellspan.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ruiz-Steele |
| AGENT ATTORNEY FIRST NAME | Silas |
| AGENT ATTORNEY ADDRESS1 | 100 East Market Street |
| AGENT ATTORNEY CITY | York |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 17401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17178468888.0 |
| AGENT ATTORNEY PHONE EXT | 2249.0 |
| AGENT ATTORNEY EMAIL ADDRESS | sruizsteele@barley.com |
| LAWFIRM NAME BUSINESS NAME | Barley Snyder LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1001 South George Street |
| LCA CASE WORKLOC1 CITY | York |
| WORKSITE COUNTY | YORK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17401 |
| LCA CASE WAGE RATE FROM | 300000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 205088.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
