| LCA CASE NUMBER | I-200-21067-128195 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-08 |
| DECISION DATE | 2021-03-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practitioner |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-10 |
| END DATE | 2024-08-09 |
| 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 | Ashtabula County Medical Center |
| EMPLOYER ADDRESS1 | 2420 Lake Avenue |
| EMPLOYER CITY | Ashtabula |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14409972262 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | VETTEL |
| EMPLOYER POC FIRST NAME | Janet |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS 1 | 2420 Lake Avenue |
| EMPLOYER POC CITY | Ashtabula |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14409976731 |
| EMPLOYER POC EMAIL | Janet.Vettel@ACMCHealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wong |
| AGENT ATTORNEY FIRST NAME | Margaret |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | 3150 Chester Avenue |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12165669908 |
| AGENT ATTORNEY PHONE EXT | 137 |
| AGENT ATTORNEY EMAIL ADDRESS | francisf@imwong.com |
| LAWFIRM NAME BUSINESS NAME | Margaret W. Wong & Associates LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 234 North Chestnut Street |
| LCA CASE WORKLOC1 CITY | Jefferson |
| WORKSITE COUNTY | ASHTABULA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44047 |
| LCA CASE WAGE RATE FROM | 587506 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
