| LCA CASE NUMBER | I-200-21125-288346 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2022-03-09 |
| ORIGINAL CERT DATE | 2021-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pain Management Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-19 |
| END DATE | 2024-09-18 |
| 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 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. |
| EMPLOYER ADDRESS1 | 2401 WEST UNIVERSITY AVENUE |
| EMPLOYER CITY | Muncie |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | IN |
| EMPLOYER PHONE | 17657473205 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | McHenry |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Manager- Physician & Provider, Human Resources |
| EMPLOYER POC ADDRESS1 | 2401 WEST UNIVERSITY AVENUE |
| EMPLOYER POC CITY | Muncie |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17657473474 |
| EMPLOYER POC EMAIL | smchenry@iuhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelley |
| AGENT ATTORNEY FIRST NAME | Kristin |
| AGENT ATTORNEY ADDRESS1 | One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2900 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13172362284 |
| AGENT ATTORNEY EMAIL ADDRESS | dickson@icemiller.com |
| LAWFIRM NAME BUSINESS NAME | Ice Miller LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2401 W University Ave |
| LCA CASE WORKLOC1 CITY | Muncie |
| WORKSITE COUNTY | DELAWARE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47303 |
| LCA CASE WAGE RATE FROM | 270000 |
| LCA CASE WAGE RATE TO | 470000 |
| 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 | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
