Medical director requirement
Not strictly required; physician involvement varies by practice structure.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with appropriate medical oversight. This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.
Who can supervise or delegate
NP/PA may practice with physician collaboration; some independent authority permitted depending on scope.
How the exam ties in
Required; in-person or telehealth permitted.
What to verify in North Dakota
Verify scope of practice for NP/PA staff and ensure compliance with delegation protocols; consult with ND Medical Board on specific practice structure.
Primary source: ND Medical Board; ND Board of Nursing
General business information for North Dakota medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the North Dakota board (and your own counsel) before you act.