| LCA CASE NUMBER | I-200-21132-308154 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-27 |
| END DATE | 2024-09-26 |
| 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 | Summit Physicians Services |
| TRADE NAME DBA | WellsSpan Summit Physicians Services |
| EMPLOYER ADDRESS1 | 785 5th Avenue |
| EMPLOYER ADDRESS2 | Suite 3 |
| EMPLOYER CITY | Chambersburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172176954 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Hopper |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC MIDDLE NAME | H. |
| EMPLOYER POC JOB TITLE | Project Manager |
| EMPLOYER POC ADDRESS 1 | 785 5th Avenue |
| EMPLOYER POC ADDRESS 2 | Suite 3 |
| EMPLOYER POC CITY | Chambersburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12142176954 |
| EMPLOYER POC EMAIL | ehopper@wellspan.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lopez |
| AGENT ATTORNEY FIRST NAME | Angela |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 3965 Preston Park Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 320 |
| AGENT ATTORNEY CITY | Plano |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75093 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
|
| AGENT ATTORNEY PHONE | 12146722162 |
| AGENT ATTORNEY EMAIL ADDRESS | alopez@cowlesthompson.com |
| LAWFIRM NAME BUSINESS NAME | Cowles & Thompson, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12 St. Paul Drive |
| WORKSITE ADDRESS2 | Suite 210 |
| LCA CASE WORKLOC1 CITY | Chambersburg |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17201 |
| LCA CASE WAGE RATE FROM | 250000 |
| 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 |
| PREPARER LAST NAME | Escobar |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Cowles & Thompson, PC |
| PREPARER EMAIL | mescobar@cowlesthompson.com |
