All Details of Green Card Application:

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Case Number: A-21190-14755

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21190-14755

Case Status

Certified-Expired

Received Date

2021-09-02

Decision Date

2022-02-25

Refile

N

Original File Date

2022-01-01 10:59:47

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Employer Name Slug

spectrum-health-primary-care-partners

Employer Address 1

DBA SPECTRUM HEALTH MEDICAL GROUP

Employer Address 2

100 MICHIGAN ST NE

Employer City

GRAND RAPIDS

Employer City Slug

grand-rapids

Employer State

MICHIGAN

Employer State Slug

michigan

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

49503

Employer Phone

6163913963

Employer Number of Employees

30891

Employer Year Commenced Business

1873

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Jill K Soubel Walsh

Employer Contact Address 1

444 Michigan St NE

Employer Contact Address 2

MC050

Employer Contact City

Grand Rapids

Employer Contact State/Province

MICHIGAN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

49503

Employer Contact Phone

6163913963

Employer Contact Email

jill.soubelwalsh@spectrumhealth.org

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10021046077835

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

141336.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-08

PW Expiration Date

2022-06-30

Wage Offer From

141336.00

Wage Offer To

229320.00

Average Salary

185328.00

Wage Unit of Pay

Year

Worksite Address 1

490 Edwards St.

Worksite Address 2

Worksite City

Middleville

Worksite City Slug

middleville

Worksite State

MICHIGAN

Worksite Postal Code

49333

Job Title

Physician, Family Practice

Job Title Slug

physician-family-practice

Minimum Education

Other

Major Field of Study

Medical or Osteopathic

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

Board Certified or Board eligible in Family Medicine. Must holdbe eligible for Michigan Medical License and MichiganFederal narcotics licenses. Any suitable combination of training, education, and experience is acceptable.

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

2021-03-31

SWA Job Order End Date

2021-05-06

Sunday Edition Newspaper

Y

First Newspaper Name

The Grand Rapids Press

First Advertisement Start Date

2021-03-28

Second Newspaper Ad Name

The Grand Rapids Press

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-04

Employer Website From Date

2021-03-31

Employer Website To Date

2021-04-12

Professional Organization Ad From Date

2022-01-01 10:59:47

Professional Organization Advertisement To Date

2022-01-01 10:59:47

Job Search Website From Date

2021-03-25

Job Search Website To Date

2021-04-06

Employee Referral Program From Date

2022-01-01 10:59:47

Employee Referral Program To Date

2022-01-01 10:59:47

Local Ethnic Paper From Date

2021-04-01

Local Ethnic Paper To Date

2021-04-01

Radio/TV Ad From Date

2022-01-01 10:59:47

Radio/TV Ad To Date

2022-01-01 10:59:47

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

OSTEOPATHIC MEDICINE

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

KANSAS CITY UNIVERSITY

Foreign Worker Education Institution Address 1

1750 INDEPENDENCE AVE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KANSAS CITY

Foreign Worker Education Institution State/Province

KS

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

64106

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Jill K Soubel Walsh

Employer Information Declaration Title

Senior Counsel