| LCA CASE NUMBER | I-200-21158-375394 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-07 |
| DECISION DATE | 2021-06-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-06 |
| END DATE | 2024-07-05 |
| 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 | University Physicians & Surgeons, Inc. |
| TRADE NAME DBA | Marshall Health |
| EMPLOYER ADDRESS1 | 1600 Medical Center Drive |
| EMPLOYER CITY | Huntington |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18776911600 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hammers |
| EMPLOYER POC FIRST NAME | Beth |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 1600 Medical Center Dr. |
| EMPLOYER POC CITY | Huntington |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13046911712 |
| EMPLOYER POC EMAIL | bhammers@marshall.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Burwell |
| AGENT ATTORNEY FIRST NAME | Henry |
| AGENT ATTORNEY ADDRESS1 | 2 W. Washington St. |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18643732212 |
| AGENT ATTORNEY EMAIL ADDRESS | buzz.burwell@nelsonmullins.com |
| LAWFIRM NAME BUSINESS NAME | Nelson Mullins Riley & Scarborough LLP |
| STATE OF HIGHEST COURT | SC |
|
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1616 13th Ave. |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Huntington |
| WORKSITE COUNTY | CABELL |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 25701 |
| LCA CASE WAGE RATE FROM | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 52520 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burwell |
| PREPARER FIRST NAME | Henry |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Nelson Mullins Riley & Scarborough LLP |
| PREPARER EMAIL | buzz.burwell@nelsonmullins.com |
