| LCA CASE NUMBER | I-200-21147-349617 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-27 |
| DECISION DATE | 2021-06-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Hospitalist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-15 |
| END DATE | 2024-06-14 |
| TOTAL WORKER POSITIONS | 3 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Wayne Memorial Hospital |
| EMPLOYER ADDRESS1 | 601 Park Street |
| EMPLOYER CITY | Honesdale |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702538100 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hockenbury |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC MIDDLE NAME | Robert |
| EMPLOYER POC JOB TITLE | Director Ancillary Services |
| EMPLOYER POC ADDRESS 1 | 601 Park Street |
| EMPLOYER POC CITY | Honesdale |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18431 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15702516680 |
| EMPLOYER POC EMAIL | hockenbury@wmh.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zimskind |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | Mann |
| AGENT ATTORNEY ADDRESS1 | 840 W. Hamilton Street |
| AGENT ATTORNEY ADDRESS2 | Suite 521 |
| AGENT ATTORNEY CITY | Allentown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 18101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16109975068 |
| AGENT ATTORNEY EMAIL ADDRESS | jeffrey.zimskind@stevenslee.com |
| LAWFIRM NAME BUSINESS NAME | Stevens & Lee |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | PA Supreme Court |
| WORKSITE WORKERS | 3 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 601 Park Street |
| LCA CASE WORKLOC1 CITY | Honesdale |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18431 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE TO | 310000 |
| 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 |
