Fiscal Year

2017

Case Number

A-17030-96761

Case Status

Certified

Received Date

2017-03-06

Decision Date

2017-05-16

Refile

N

Original File Date

2017-01-01 05:01:18

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

INNOVIS HEALTH

Employer Name Slug

innovis-health

Employer Address 1

3000 32ND AVE SOUTH

Employer Address 2

ATTN: INNOVIS HEALTH, LLC D/B/A ESSENTIA HEALTH WEST

Employer City

FARGO

Employer City Slug

fargo

Employer State

ND

Employer State Slug

nd

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

58103

Employer Phone

701-364-8000

Employer Number of Employees

2150

Employer Year Commenced Business

2008

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

Bruner Law Group, PLLC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Minnetonka

Agent Attorney State/Province

MN

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10016328286740

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level II

PW Wage

54.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2017-02-21

PW Expiration Date

2017-06-30

Wage Offer From

250.00

Wage Offer To

0.00

Average Salary

250.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Fargo

Worksite City Slug

fargo

Worksite State

ND

Worksite Postal Code

58103

Job Title

Rheumatologist

Job Title Slug

rheumatologist

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

N

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

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

2016-11-30

SWA Job Order End Date

2016-12-30

Sunday Edition Newspaper

Y

First Newspaper Name

The Forum

First Advertisement Start Date

2016-12-04

Second Newspaper Ad Name

The Forum

Second Advertisement Type

Y

Second Ad Start Date

2016-12-11

Employer Website From Date

2017-01-01 05:01:18

Employer Website To Date

2017-01-01 05:01:18

Professional Organization Ad From Date

2016-12-27

Professional Organization Advertisement To Date

2016-12-27

Job Search Website From Date

2016-12-22

Job Search Website To Date

2016-12-30

Employee Referral Program From Date

2017-01-01 05:01:18

Employee Referral Program To Date

2017-01-01 05:01:18

Local Ethnic Paper From Date

2016-12-02

Local Ethnic Paper To Date

2017-01-01 05:01:18

Radio/TV Ad From Date

2017-01-01 05:01:18

Radio/TV Ad To Date

2017-01-01 05:01:18

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2008

Foreign Worker Institution of Education

FEDERAL UNIVERSITY OF RIO GRANDE DO SUL

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

Partner/Lead Engagement Attorney

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

VP of Physician and Professional Services