| LCA CASE NUMBER | I-200-20267-840768 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-23 |
| DECISION DATE | 2020-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-28 |
| END DATE | 2024-01-20 |
| 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 | Bowling Green - Warren County Community Hospital |
| TRADE NAME DBA | Med Center Health |
| EMPLOYER ADDRESS1 | 250 Park Street |
| EMPLOYER CITY | Bowling Green |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 42101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12707965569 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Lackey |
| EMPLOYER POC FIRST NAME | Trisha |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 250 Park Street |
| EMPLOYER POC CITY | Bowling Green |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 42101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12707965569 |
| EMPLOYER POC EMAIL | lackta@mchealth.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Ted |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 26111 W 14 MILE RD STE 104 |
| AGENT ATTORNEY CITY | FRANKLIN |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48025-1170 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575.0 |
| AGENT ATTORNEY EMAIL ADDRESS | tss225@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 466 Burnley Road |
| LCA CASE WORKLOC1 CITY | Scottsville |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 42164 |
| LCA CASE WAGE RATE FROM | 78.81 |
| LCA CASE WAGE RATE TO | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 78.81 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
