| LCA CASE NUMBER | I-200-20056-349361 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-25 |
| DECISION DATE | 2020-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-01 |
| END DATE | 2023-02-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Summit Physician Services |
| TRADE NAME DBA | WellSpan Summit Physician Services |
| EMPLOYER ADDRESS1 | 785 5th Ave. |
| EMPLOYER ADDRESS2 | Suite 3 |
| EMPLOYER CITY | Chambersburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172639555 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hopper |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC JOB TITLE | Project Manager |
| EMPLOYER POC ADDRESS1 | 785 5th Ave. |
| EMPLOYER POC ADDRESS2 | Suite 3 |
| EMPLOYER POC CITY | Chambersburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17172176954 |
| EMPLOYER POC EMAIL | ehopper@wellspan.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mehta |
| AGENT ATTORNEY FIRST NAME | Khorzad |
| AGENT ATTORNEY MIDDLE NAME | Adi |
| AGENT ATTORNEY ADDRESS1 | 10451 Mill Run Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Owings Mills |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21117 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103565440.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jenniferg@murthy.com |
| LAWFIRM NAME BUSINESS NAME | Murthy Law Firm |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Fresenius Kidney Care |
| WORKSITE ADDRESS1 | 22 St. Paul Drive |
| LCA CASE WORKLOC1 CITY | Chambersburg |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17201 |
| LCA CASE WAGE RATE FROM | 312500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 155230.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 10.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gordon |
| PREPARER FIRST NAME | Jennifer |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Murthy Law Firm |
| PREPARER EMAIL | jenniferg@murthy.com |
