| LCA CASE NUMBER | I-200-21273-615632 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-30 |
| DECISION DATE | 2021-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-01 |
| END DATE | 2025-03-31 |
| 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 | Health Access Network Inc. |
| EMPLOYER ADDRESS1 | 175 West Broadway |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12074037518 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Maxwell |
| EMPLOYER POC FIRST NAME | Sonia |
| EMPLOYER POC JOB TITLE | Human Resource Director/Compliance Officer |
| EMPLOYER POC ADDRESS1 | 175 West Broadway |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12074037518 |
| EMPLOYER POC EMAIL | smaxwell@hanfqhc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Huang |
| AGENT ATTORNEY FIRST NAME | Jing |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119 |
| AGENT ATTORNEY EMAIL ADDRESS | jing@sivisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1930 Medway Road |
| LCA CASE WORKLOC1 CITY | Medway |
| WORKSITE COUNTY | MEDWAY TOWN |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04460 |
| LCA CASE WAGE RATE FROM | 208582 |
| LCA CASE WAGE RATE TO | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208582 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
