| LCA CASE NUMBER | I-200-21250-568685 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-07 |
| DECISION DATE | 2021-09-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | INTERNAL MEDICINE PHYSICIAN |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-07 |
| END DATE | 2024-09-05 |
| 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 | SIXTEENTH STREET COMMUNITY HEALTH CENTERS |
| EMPLOYER ADDRESS1 | 2906 S. 20TH STREET |
| EMPLOYER CITY | MILWAUKEE |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14148975193 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | LEHMANN |
| EMPLOYER POC FIRST NAME | TRINA |
| EMPLOYER POC JOB TITLE | MEDICAL ADMINISTRATION |
| EMPLOYER POC ADDRESS1 | 2906 S. 20TH STREET |
| EMPLOYER POC CITY | MILWAUKEE |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14148975193 |
| EMPLOYER POC EMAIL | KATRINA.LEHMANN@SSCHC.ORG |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2906 S. 20TH STREET |
| LCA CASE WORKLOC1 CITY | MILWAUKEE |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53215 |
| LCA CASE WAGE RATE FROM | 212609 |
| LCA CASE WAGE RATE TO | 214000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pearson |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Pearson Associates |
| PREPARER EMAIL | jpearsonassociates@gmail.com |
