| LCA CASE NUMBER | I-200-20204-729595 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-22 |
| DECISION DATE | 2020-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NEPHROLOGIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-22 |
| END DATE | 2023-07-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FRANKLIN COUNTY MEDICAL ASSOCIATES, LLC |
| TRADE NAME DBA | KIDNEY CARE CENTER CHAMBERSBURG |
| EMPLOYER ADDRESS1 | 415 LIMEKILN DR. |
| EMPLOYER CITY | CHAMBERSBURG |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172637757 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | MUTHART |
| EMPLOYER POC FIRST NAME | LAUREN |
| EMPLOYER POC JOB TITLE | CREDENTIALING & IMMIGRATION SPECIALIST |
| EMPLOYER POC ADDRESS1 | 812 CAMPUS DR. |
| EMPLOYER POC CITY | JOLIET |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60435 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18157147171 |
| EMPLOYER POC EMAIL | LMuthart@KidneyCares.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BICKFORD |
| AGENT ATTORNEY FIRST NAME | KRYSTAL |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 53 W. JACKSON BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 809 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301.0 |
| AGENT ATTORNEY EMAIL ADDRESS | kab@charleswintersteen.com |
| LAWFIRM NAME BUSINESS NAME | CHARLES H. WINTERSTEEN, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | WELLSPAN CHAMBERSBURG HOSPITAL |
| WORKSITE ADDRESS1 | 112 N. 7TH STREET |
| LCA CASE WORKLOC1 CITY | CHAMBERSBURG |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17201 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
