Ownership rules
Non-physicians may own; physician involvement not always mandatory.
Corporate Practice of Medicine
Lenient; non-physician ownership and MSO structures permitted.
The medical-director angle
Not always required; depends on practice structure and ownership model. Ownership and the medical-director requirement are usually two sides of the same compliance coin.
What to verify in North Dakota
Verify with the North Dakota Medical Board whether your specific ownership and delegation model requires a medical director, as rules vary by practice structure.
Primary source: North Dakota Medical Board; 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.