| LCA CASE NUMBER | I-200-22159-259763 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-08 |
| DECISION DATE | 2022-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-29 |
| END DATE | 2025-08-28 |
| 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 | Chickasaw Nation Department of Health |
| EMPLOYER ADDRESS1 | 1921 Stonecipher Blvd |
| EMPLOYER CITY | Ada |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74820 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15804362603 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Grim |
| EMPLOYER POC FIRST NAME | Charles |
| EMPLOYER POC JOB TITLE | Secretary of Health |
| EMPLOYER POC ADDRESS1 | 1921 Stonecipher Blcd |
| EMPLOYER POC CITY | Ada |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 74820 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15804362603 |
| EMPLOYER POC EMAIL | charles.grim@chickasaw.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Corigliano |
| AGENT ATTORNEY FIRST NAME | Dina |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222 |
| AGENT ATTORNEY EMAIL ADDRESS | dcorigliano@jeffries-law.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries and Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1921 Stonecipher Blvd |
| LCA CASE WORKLOC1 CITY | Ada |
| WORKSITE COUNTY | PONTOTOC |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74820 |
| LCA CASE WAGE RATE FROM | 241508 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 192587 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER BUSINESS NAME | Jeffries & Corigliano LLP |
| PREPARER EMAIL | dcorigliano@jeffries-law.com |
