Fiscal Year

2024

Case Number

A-22308-52430

Case Status

Certified-Expired

Received Date

2022-11-16

Decision Date

2023-10-12

Refile

N

Original File Date

2024-01-01 00:05:17

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MARSHFIELD CLINIC

Employer Name Slug

marshfield-clinic

Employer Address 1

1000 N. OAK AVENUE

Employer Address 2

Employer City

MARSHFIELD

Employer City Slug

marshfield

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54449

Employer Phone

715-387-5511

Employer Number of Employees

1174

Employer Year Commenced Business

1916

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

LISA BOERO

Employer Contact Address 1

1515 NORTH SAINT JOSEPH AVE

Employer Contact Address 2

PO BOX 8000

Employer Contact City

MARSHFIELD

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54449

Employer Contact Phone

715-221-7231

Employer Contact Email

BOERO.LISA@MARSHFIELDCLINIC.ORG

Agent Attorney Name

Kelley A Chenhalls

Agent Attorney Firm Name

Chenhalls Nissen, S.C.

Agent Attorney Phone

(414) 892-8298

Agent Attorney Address 1

11270 W Park Place

Agent Attorney Address 2

Suite 200

Agent Attorney City

Milwaukee

Agent Attorney State/Province

WISCONSIN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

53224

Agent Attorney Email

kchenhalls@cnvisalaw.com

PW Track Number

P10021322714039

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-05-26

PW Expiration Date

2022-08-24

Wage Offer From

290700.00

Wage Offer To

0.00

Average Salary

290700.00

Wage Unit of Pay

Year

Worksite Address 1

9576 Highway 70

Worksite Address 2

Worksite City

Minocqua

Worksite City Slug

minocqua

Worksite State

WISCONSIN

Worksite Postal Code

54548

Job Title

Hospitalist

Job Title Slug

hospitalist

Minimum Education

Other

Major Field of Study

Medicine or Medicine and Surgery

Required Training

N

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

Note on H.4A Requires M.D., D.O., or foreign equivalent degree. Also requires successful completion of residency in internal medicine; must have or be eligible for licensure to practice medicine from the State of Wisconsin; must be eligible for hospital and health plan privileges; and may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.

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

2022-08-01

SWA Job Order End Date

2022-09-06

Sunday Edition Newspaper

N

First Newspaper Name

The Lakeland Times

First Advertisement Start Date

2022-07-29

Second Newspaper Ad Name

The Lakeland Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-08-05

Employer Website From Date

2022-08-02

Employer Website To Date

2022-08-16

Professional Organization Ad From Date

2024-01-01 00:05:17

Professional Organization Advertisement To Date

2024-01-01 00:05:17

Job Search Website From Date

2022-08-01

Job Search Website To Date

2022-08-16

Employee Referral Program From Date

2024-01-01 00:05:17

Employee Referral Program To Date

2024-01-01 00:05:17

Local Ethnic Paper From Date

2024-01-01 00:05:17

Local Ethnic Paper To Date

2024-01-01 00:05:17

Radio/TV Ad From Date

2022-08-05

Radio/TV Ad To Date

2022-08-05

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

2011

Foreign Worker Institution of Education

UNIVERSITAS PELITA HARAPAN

Foreign Worker Education Institution Address 1

JL. JEND. SUDIRMAN NO.20

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

TANGERANG

Foreign Worker Education Institution State/Province

BANTEN

Foreign Worker Education Institution Country

INDONESIA

Foreign Worker Education Institution Postal Code

15810

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

Kelley A Chenhalls

Preparer Title

Attorney

Preparer Email

kchenhalls@cnvisalaw.com

Employer Information Declaration Name

Lisa S Boero

Employer Information Declaration Title

Chief Legal Compliance Officer SHP