Fiscal Year

2022

Case Number

A-21145-91631

Case Status

Certified-Expired

Received Date

2021-06-29

Decision Date

2021-11-24

Refile

N

Original File Date

2022-01-01 10:29:47

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PREVEA CLINIC

Employer Name Slug

prevea-clinic

Employer Address 1

2710 EXECUTIVE DRIVE

Employer Address 2

Employer City

GREEN BAY

Employer City Slug

green-bay

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54304

Employer Phone

9204964700

Employer Number of Employees

2263

Employer Year Commenced Business

1996

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Ashok Rai

Employer Contact Address 1

2710 Executive Drive

Employer Contact Address 2

Employer Contact City

Green Bay

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54304

Employer Contact Phone

9204051460

Employer Contact Email

Ashok.Rai@prevea.com

Agent Attorney Name

Geoffrey A Lacy

Agent Attorney Firm Name

Strang, Patteson, Renning, Lewis Lacy, s.c.

Agent Attorney Phone

8448330824

Agent Attorney Address 1

205 DOTY STREET

Agent Attorney Address 2

SUITE 201

Agent Attorney City

Green Bay

Agent Attorney State/Province

WISCONSIN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

54301

Agent Attorney Email

glacy@strangpatteson.com

PW Track Number

P10020345948604

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

2021-04-21

PW Expiration Date

2021-07-20

Wage Offer From

225000.00

Wage Offer To

300000.00

Average Salary

262500.00

Wage Unit of Pay

Year

Worksite Address 1

1726 Shawano Avenue

Worksite Address 2

Worksite City

Green Bay

Worksite City Slug

green-bay

Worksite State

WISCONSIN

Worksite Postal Code

54303

Job Title

Hospitalist

Job Title Slug

hospitalist

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

PARTICIPATION IN INTERNAL MEDICINE RESIDENCY PROGRAM LEADING TO ELIGIBILITY FOR CERTIFICATION IN INTERNAL MEDICINE BY THE AMERICAN BOARD OF INTERNAL MEDICINE; MUST HAVE OR BE ELIGIBLE TO OBTAIN A LICENSE TO PRACTICE MEDICINE AND SURGERY IN THE STATE OF WISCONSIN. ELIGIBILITY FOR WISCONSIN LICENSURE REQUIRES COMPLETION OF AT LEAST 12 MONTHS OF MEDICAL RESIDENCY.br br ALEIN IS LICENSED TO PRACTICE MEDICINE AND SURGERY IN THE STATE OF WISCONSIN License No. 7513120.

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

2021-04-21

SWA Job Order End Date

2021-05-23

Sunday Edition Newspaper

Y

First Newspaper Name

Green Bay PressGazette

First Advertisement Start Date

2021-04-25

Second Newspaper Ad Name

Green Bay PressGazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-05-02

Employer Website From Date

2021-05-05

Employer Website To Date

2021-05-12

Professional Organization Ad From Date

2022-01-01 10:29:47

Professional Organization Advertisement To Date

2022-01-01 10:29:47

Job Search Website From Date

2021-04-22

Job Search Website To Date

2021-05-12

Employee Referral Program From Date

2022-01-01 10:29:47

Employee Referral Program To Date

2022-01-01 10:29:47

Local Ethnic Paper From Date

2022-01-01 10:29:47

Local Ethnic Paper To Date

2022-01-01 10:29:47

Radio/TV Ad From Date

2022-01-01 10:29:47

Radio/TV Ad To Date

2022-01-01 10:29:47

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

2014

Foreign Worker Institution of Education

FEDERAL UNIVERSITY OF MATO GROSSO DO SUL

Foreign Worker Education Institution Address 1

AV. COSTA E SILVA

Foreign Worker Education Institution Address 2

UNIVERSITY QUARTER

Foreign Worker Education Institution City

CAMPO GRANDE

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BRAZIL

Foreign Worker Education Institution Postal Code

79070-900

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Geoffrey A Lacy

Preparer Title

Attorney

Preparer Email

glacy@strangpatteson.com

Employer Information Declaration Name

Ashok Rai

Employer Information Declaration Title

PRESIDENT CEO