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Case Number: A-18362-57309

Fiscal year: 2019

Fiscal Year

2019

Case Number

A-18362-57309

Case Status

Certified

Received Date

2019-03-01

Decision Date

2019-05-16

Refile

Original File Date

2019-01-01 13:56:30

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

WESTERN MOUNTAIN MEDICAL CENTER, P.C.

Employer Name Slug

western-mountain-medical-center-pc

Employer Address 1

3015 HIGHWAY 95 STE #107B

Employer Address 2

Employer City

BULLHEAD CITY

Employer City Slug

bullhead-city

Employer State

ARIZONA

Employer State Slug

arizona

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

86442

Employer Phone

928-763-0433

Employer Number of Employees

12

Employer Year Commenced Business

2006

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

Cowles & Thompson, PC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

PLANO

Agent Attorney State/Province

TEXAS

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10018156630369

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

0

PW Expiration Date

0

Wage Offer From

252000.00

Wage Offer To

0.00

Average Salary

252000.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

BULLHEAD CITY

Worksite City Slug

bullhead-city

Worksite State

ARIZONA

Worksite Postal Code

86442

Job Title

Internal Medicine Physician

Job Title Slug

internal-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

0

SWA Job Order End Date

0

Sunday Edition Newspaper

Y

First Newspaper Name

Mohave Valley Daily News

First Advertisement Start Date

0

Second Newspaper Ad Name

Mohave Valley Daily News

Second Advertisement Type

Newspaper

Second Ad Start Date

0

Employer Website From Date

2019-01-01 13:56:30

Employer Website To Date

2019-01-01 13:56:30

Professional Organization Ad From Date

0

Professional Organization Advertisement To Date

0

Job Search Website From Date

0

Job Search Website To Date

0

Employee Referral Program From Date

2019-01-01 13:56:30

Employee Referral Program To Date

2019-01-01 13:56:30

Local Ethnic Paper From Date

0

Local Ethnic Paper To Date

2019-01-01 13:56:30

Radio/TV Ad From Date

2019-01-01 13:56:30

Radio/TV Ad To Date

2019-01-01 13:56:30

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NEPAL

Foreign Worker Birth Country

NEPAL

Class of Admission

J-1

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

MANIPAL COLLEGE OF MEDICAL SCIENCES

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

Attorney

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

President