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.