| LCA CASE NUMBER | I-200-21102-215661 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-12 |
| DECISION DATE | 2021-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Primary Care) |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-23 |
| END DATE | 2024-08-22 |
| 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 | TidalHealth Physician Network, Inc. |
| EMPLOYER ADDRESS1 | 100 East Carroll Street |
| EMPLOYER CITY | Salisbury |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105437092 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hoster |
| EMPLOYER POC FIRST NAME | Maryanne |
| EMPLOYER POC JOB TITLE | Director of Legal Services |
| EMPLOYER POC ADDRESS 1 | 100 East Carroll Street |
| EMPLOYER POC CITY | Salisbury |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14105437092 |
| EMPLOYER POC EMAIL | Maryanne.Hoster@tidalhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Salvetti |
| AGENT ATTORNEY FIRST NAME | Jamie |
| AGENT ATTORNEY MIDDLE NAME | Lucinda |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 5279 |
| AGENT ATTORNEY CITY | HERNDON |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850634 |
| AGENT ATTORNEY EMAIL ADDRESS | jsalvetti@SALVETTILAW.COM |
| LAWFIRM NAME BUSINESS NAME | THE SALVETTI LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF PENNSYLVANIA |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 Rawlins Drive |
| LCA CASE WORKLOC1 CITY | Seaford |
| WORKSITE COUNTY | SUSSEX |
| LCA CASE WORKLOC1 STATE | DE |
| WORKSITE POSTAL CODE | 19973 |
| LCA CASE WAGE RATE FROM | 230000 |
| 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 |
