| LCA CASE NUMBER | I-200-21257-583515 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-14 |
| DECISION DATE | 2021-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-24 |
| END DATE | 2024-09-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | ThedaCare, Inc. |
| EMPLOYER ADDRESS1 | Three Neenah Center |
| EMPLOYER CITY | Neenah |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54956 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19204544228 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Nack |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC JOB TITLE | Physician & Adv. Practice Clinician Recruiter |
| EMPLOYER POC ADDRESS1 | Three Neenah Center |
| EMPLOYER POC CITY | Neenah |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54956 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19204544228 |
| EMPLOYER POC EMAIL | sara.nack@thedacare.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Santa Maria |
| AGENT ATTORNEY FIRST NAME | Monica |
| AGENT ATTORNEY ADDRESS1 | 354 W. Main Street |
| AGENT ATTORNEY CITY | Madison |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53715 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16082573152 |
| AGENT ATTORNEY EMAIL ADDRESS | admin@santamaria-legal.com |
| LAWFIRM NAME BUSINESS NAME | Santa Maria Law Office, LLC |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Wisconsin |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 County Road B |
| LCA CASE WORKLOC1 CITY | Shawano |
| WORKSITE COUNTY | SHAWANO |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54166 |
| LCA CASE WAGE RATE FROM | 208000 |
| 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 | 4 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
