Ownership rules

Open; non-physicians may own medical spas with physician involvement.

Corporate Practice of Medicine

Lenient; non-physician ownership permitted with appropriate medical oversight.

The medical-director angle

Not strictly required; physician involvement varies by practice structure. Ownership and the medical-director requirement are usually two sides of the same compliance coin.

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.

See the full North Dakota regulation profile →