| LCA CASE NUMBER | I-200-20161-639292 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-09 |
| DECISION DATE | 2020-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN (PSYCHIATRIST) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-24 |
| END DATE | 2023-10-23 |
| 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 | VA ANN ARBOR HEALTHCARE SYSTEM |
| EMPLOYER ADDRESS1 | 2215 Fuller Road |
| EMPLOYER CITY | Ann Arbor |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17342227816 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ferguson |
| EMPLOYER POC FIRST NAME | Jeremiah |
| EMPLOYER POC MIDDLE NAME | Kenneth |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES SPECIALIST |
| EMPLOYER POC ADDRESS1 | 2215 Fuller Road |
| EMPLOYER POC CITY | Ann Arbor |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17342227816 |
| EMPLOYER POC EMAIL | jeremiah.ferguson@va.gov |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2215 Fuller RD |
| LCA CASE WORKLOC1 CITY | Ann Arbor |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48105 |
| LCA CASE WAGE RATE FROM | 163488.0 |
| LCA CASE WAGE RATE TO | 282480.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163488.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ferguson |
| PREPARER FIRST NAME | Jeremiah |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | VA Ann Arbor Healthcare System |
| PREPARER EMAIL | jeremiah.ferguson@va.gov |
