Fiscal Year

2022

Case Number

A-21334-79137

Case Status

Certified

Received Date

2021-12-06

Decision Date

2022-07-08

Refile

N

Original File Date

2022-01-01 11:42:56

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SOUND PHYSICIANS OF INDIANA, LLC

Employer Name Slug

sound-physicians-of-indiana-llc

Employer Address 1

1498 PACIFIC AVE SUITE 400

Employer Address 2

Employer City

TACOMA

Employer City Slug

tacoma

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98402

Employer Phone

2536826007

Employer Number of Employees

4400

Employer Year Commenced Business

2001

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Andrew P Solarski

Employer Contact Address 1

1498 Pacific Ave Suite 400

Employer Contact Address 2

Employer Contact City

Tacoma

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98402

Employer Contact Phone

6153775639

Employer Contact Email

asolarski@soundphysicians.com

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

P10021160382471

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

100.00

PW Unit of Pay

Hour

PW Wage Source

OES

PW Determination Date

2021-11-16

PW Expiration Date

2022-06-30

Wage Offer From

134.00

Wage Offer To

150.00

Average Salary

142.00

Wage Unit of Pay

Hour

Worksite Address 1

7950 W. Jefferson Blvd.

Worksite Address 2

Worksite City

Fort Wayne

Worksite City Slug

fort-wayne

Worksite State

INDIANA

Worksite Postal Code

46804

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-physician

Minimum Education

Other

Major Field of Study

Medicine

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

Must possess a valid state license to practice medicine in Indiana and have completed three years of residency training in family or internal medicine. Must be Accreditation Council for Graduate Medical Education ACGME accredited residency training in internal or family medicine. Medical degree or foreign equivalent required.

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

2021-08-17

SWA Job Order End Date

2021-09-19

Sunday Edition Newspaper

Y

First Newspaper Name

The Fort Wayne Journal Gazette

First Advertisement Start Date

2021-09-05

Second Newspaper Ad Name

The Fort Wayne Journal Gazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-09-12

Employer Website From Date

2022-01-01 11:42:56

Employer Website To Date

2022-01-01 11:42:56

Professional Organization Ad From Date

2021-09-28

Professional Organization Advertisement To Date

2021-09-28

Job Search Website From Date

2021-09-24

Job Search Website To Date

2021-10-01

Employee Referral Program From Date

2022-01-01 11:42:56

Employee Referral Program To Date

2022-01-01 11:42:56

Local Ethnic Paper From Date

2022-01-01 11:42:56

Local Ethnic Paper To Date

2022-01-01 11:42:56

Radio/TV Ad From Date

2021-09-11

Radio/TV Ad To Date

2021-09-13

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SUDAN

Foreign Worker Birth Country

SAUDI ARABIA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

UNIVERSITY OF KHARTOUM FACULTY OF MEDICINE

Foreign Worker Education Institution Address 1

HGWHPFQ

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KHARTOUM

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SUDAN

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

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Andrew P Solarski

Employer Information Declaration Title

Asst. Secretary and Associate Counsel