| LCA CASE NUMBER | I-200-21173-418463 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-06-22 |
| DECISION DATE | 2022-08-05 |
| ORIGINAL CERT DATE | 2021-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PSYCHIATRIST |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-28 |
| END DATE | 2024-06-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FORREST GENERAL HOSPITAL |
| TRADE NAME DBA | PINE GROVE BEHAVIORAL HEALTH & ADDICTION SERVICES |
| EMPLOYER ADDRESS1 | 2255 BROADWAY DRIVE |
| EMPLOYER CITY | HATTIESBURG |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16012884801 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | WOODARD |
| EMPLOYER POC FIRST NAME | R. |
| EMPLOYER POC MIDDLE NAME | ANDY |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 2255 BROADWAY DRIVE |
| EMPLOYER POC CITY | HATTIESBURG |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16012884801 |
| EMPLOYER POC EMAIL | cwade@forrestgeneral.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WALKER |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | JOE |
| AGENT ATTORNEY ADDRESS1 | P O BOX 1023 |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16628410629 |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walker-immigration.com |
|
| LAWFIRM NAME BUSINESS NAME | BARRY J WALKER, ATTY P A |
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | MANPREET KHEMKA, M.D. |
| WORKSITE ADDRESS1 | 12460 CASSENA ROAD |
| LCA CASE WORKLOC1 CITY | FORT WAYNE |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46814 |
| LCA CASE WAGE RATE FROM | 218.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 53.63 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | BARRY J WALKER, ATTY P A |
| PREPARER EMAIL | danane@walker-immigration.com |
