All Details of Green Card Application:
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Case Number: A-22018-99271
Fiscal year: 2022
Fiscal Year
2022
Case Number
A-22018-99271
Case Status
Certified
Received Date
2022-01-18
Decision Date
2022-09-19
Refile
N
Original File Date
2022-01-01 06:38:36
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
WENTWORTHDOUGLASS PHYSICIAN CORPORATION
Employer Name Slug
wentworthdouglass-physician-corporation
Employer Address 1
789 CENTRAL AVENUE
Employer Address 2
MEDICAL STAFF OFFICE
Employer City
DOVER
Employer City Slug
dover
Employer State
NEW HAMPSHIRE
Employer State Slug
new-hampshire
Employer Country
UNITED STATES OF AMERICA
Employer Postal Code
3820
Employer Phone
603-609-6925
Employer Number of Employees
626
Employer Year Commenced Business
1998
NAICS Code
622110
FW Ownership Interest
N
Employer Contact Name
Paul R CASS, DO, CPE
Employer Contact Address 1
789 Central Avenue
Employer Contact Address 2
Employer Contact City
Dover
Employer Contact State/Province
NEW HAMPSHIRE
Employer Contact Country
UNITED STATES OF AMERICA
Employer Contact Postal Code
3820
Employer Contact Phone
603-609-6925
Employer Contact Email
Irene.McCain@wdhospital.org
Agent Attorney Name
Steven L Winer
Agent Attorney Firm Name
Orr Reno P.A.
Agent Attorney Phone
603-223-9152
Agent Attorney Address 1
45 S. Main Street, PO Box 3550
Agent Attorney Address 2
Agent Attorney City
Concord
Agent Attorney State/Province
NEW HAMPSHIRE
Agent Attorney Country
UNITED STATES OF AMERICA
Agent Attorney Postal Code
03302-3550
Agent Attorney Email
csalvato@orr-reno.com
PW Track Number
P10021209488028
PW SOC Code
29-1069
PW SOC Title
Internal Medicine Physician
PW Skill Level
Level I
PW Wage
208000.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2022-01-14
PW Expiration Date
2022-06-30
Wage Offer From
210000.00
Wage Offer To
0.00
Average Salary
210000.00
Wage Unit of Pay
Year
Worksite Address 1
WHP Internal Medicine
Worksite Address 2
10 Members Way
Worksite City
Dover
Worksite City Slug
dover
Worksite State
NEW HAMPSHIRE
Worksite Postal Code
3820
Job Title
Internal Medicine Physician
Job Title Slug
internal-medicine-physician
Minimum Education
Other
Major Field of Study
Medicine
Required Training
Y
Required Experience
N
Required Experience Months
Accept Alternative Field of Study
N
Accept Alternative Major Field of Study
Accept Alternative Combination
N
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
Requires completion of Internal Medicine residency, BCE with American Board of Internal Medicine, eligibility for state license.
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
2021-09-02
SWA Job Order End Date
2021-10-02
Sunday Edition Newspaper
Y
First Newspaper Name
Union LeaderNew Hampshire Sunday News
First Advertisement Start Date
2021-09-05
Second Newspaper Ad Name
Union LeaderNew Hampshire Sunday News
Second Advertisement Type
Newspaper
Second Ad Start Date
2021-09-12
Employer Website From Date
2021-09-24
Employer Website To Date
2021-10-21
Professional Organization Ad From Date
2021-09-23
Professional Organization Advertisement To Date
2021-09-29
Job Search Website From Date
2021-09-05
Job Search Website To Date
2021-10-04
Employee Referral Program From Date
2022-01-01 06:38:36
Employee Referral Program To Date
2022-01-01 06:38:36
Local Ethnic Paper From Date
2022-01-01 06:38:36
Local Ethnic Paper To Date
2022-01-01 06:38:36
Radio/TV Ad From Date
2022-01-01 06:38:36
Radio/TV Ad To Date
2022-01-01 06:38:36
Employer Received Payment
N
Posted Notice at Worksite
Y
Layoff in Past Six Months
N
Country of Citizenship
INDONESIA
Foreign Worker Birth Country
INDONESIA
Class of Admission
H-1B
Foreign Worker Education
Other
Foreign Worker Information: Major
MEDICINE
Foreign Worker Years of Education Completed
2012
Foreign Worker Institution of Education
UNIVERSITY OF INDONESIA
Foreign Worker Education Institution Address 1
JL. MARGONDA RAYA, PONDOK CINA, KECAMATAN BEJI, KOTA
Foreign Worker Education Institution Address 2
Foreign Worker Education Institution City
DEPOK, JAWA BARAT
Foreign Worker Education Institution State/Province
JAKARTA
Foreign Worker Education Institution Country
INDONESIA
Foreign Worker Education Institution Postal Code
16424
Foreign Worker Experience with Employer
N/A
Foreign Worker Employer Pays for Education
N
Foreign Worker Currently Employed
Y
Employer Completed Application
N
Preparer Name
Steven L Winer
Preparer Title
Attorney
Preparer Email
csalvato@orr-reno.com
Employer Information Declaration Name
Paul R CASS, DO, CPE
Employer Information Declaration Title
Director