| LCA CASE NUMBER | I-200-21088-180422 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-29 |
| DECISION DATE | 2021-04-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | The Chippewa County War Memorial Hospital |
| EMPLOYER ADDRESS1 | 500 Obsborn Boulevard |
| EMPLOYER CITY | Sault Ste. Marie |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49783 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19062532786 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fitzner |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Director of Physician Recruitment |
| EMPLOYER POC ADDRESS 1 | 500 Osborn Boulevard |
| EMPLOYER POC CITY | Sault Ste. Marie |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49783 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19062532786 |
| EMPLOYER POC EMAIL | mfitzner@wmhos.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wooley |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Eric |
| AGENT ATTORNEY ADDRESS1 | 715 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 110 |
| AGENT ATTORNEY CITY | Midland |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48640 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19896983715 |
| AGENT ATTORNEY EMAIL ADDRESS | mwooley@wnj.com |
| LAWFIRM NAME BUSINESS NAME | Warner Norcross + Judd LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 500 Osborn Boulevard |
| LCA CASE WORKLOC1 CITY | Sault Ste. Marie |
| WORKSITE COUNTY | CHIPPEWA |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49783 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 216112 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
