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Case Number: A-20262-01552

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20262-01552

Case Status

Certified

Received Date

2020-10-28

Decision Date

2021-05-10

Refile

N

Original File Date

2021-01-01 09:21:34

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

HNI Hospitalists of Idaho, LLC

Employer Name Slug

hni-hospitalists-of-idaho-llc

Employer Address 1

7500 Rialto Blvd., Bldg. 1, Ste 140

Employer Address 2

Employer City

Austin

Employer City Slug

austin

Employer State

TEXAS

Employer State Slug

texas

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

78735

Employer Phone

5127303060

Employer Number of Employees

9

Employer Year Commenced Business

2018

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Rebecca Solis

Employer Contact Address 1

7500 Rialto Blvd., Bldg. 1, Ste 140

Employer Contact Address 2

Employer Contact City

Austin

Employer Contact State/Province

TEXAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

78735

Employer Contact Phone

9568786074

Employer Contact Email

rebecca.solis@hnihc.com

Agent Attorney Name

Rachel I Bus

Agent Attorney Firm Name

Law Offices of Brelje and Associates, P.C.

Agent Attorney Phone

6235365750

Agent Attorney Address 1

3080 North Litchfield Road

Agent Attorney Address 2

Agent Attorney City

Goodyear

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85395

Agent Attorney Email

rbus@breljelaw.com

PW Track Number

P10020001223083

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-07

PW Expiration Date

2020-07-06

Wage Offer From

305760.00

Wage Offer To

0.00

Average Salary

305760.00

Wage Unit of Pay

Year

Worksite Address 1

415 6th Street

Worksite Address 2

Worksite City

Lewiston

Worksite City Slug

lewiston

Worksite State

IDAHO

Worksite Postal Code

83501

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-physician

Minimum Education

Other

Major Field of Study

Medicine

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

Eligible for state medical license; Board Certified or Board Eligible BCE in Internal or Family Medicine.

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

2020-06-11

SWA Job Order End Date

2020-07-15

Sunday Edition Newspaper

Y

First Newspaper Name

Lewiston Tribune

First Advertisement Start Date

2020-06-21

Second Newspaper Ad Name

Lewiston Tribune

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-28

Employer Website From Date

2020-06-04

Employer Website To Date

2020-08-21

Professional Organization Ad From Date

2021-01-01 09:21:34

Professional Organization Advertisement To Date

2021-01-01 09:21:34

Job Search Website From Date

2020-06-17

Job Search Website To Date

2020-07-16

Employee Referral Program From Date

2021-01-01 09:21:34

Employee Referral Program To Date

2021-01-01 09:21:34

Local Ethnic Paper From Date

2020-06-17

Local Ethnic Paper To Date

2020-06-17

Radio/TV Ad From Date

2021-01-01 09:21:34

Radio/TV Ad To Date

2021-01-01 09:21:34

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BANGLADESH

Foreign Worker Birth Country

BANGLADESH

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

DHAKA MEDICAL COLLEGE AND HOSPITAL

Foreign Worker Education Institution Address 1

DHAKA 1000

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DHAKA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BANGLADESH

Foreign Worker Education Institution Postal Code

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

Rachel I Bus

Preparer Title

Attorney

Preparer Email

rbus@breljelaw.com

Employer Information Declaration Name

Michael Gonzales

Employer Information Declaration Title

Chief Executive Officer