Ownership rules
Open; non-physicians may own and operate medical spas with physician collaboration for injectables.
Corporate Practice of Medicine
Lenient; no strict Corporate Practice of Medicine enforcement; non-physician ownership permitted.
The medical-director angle
Not strictly required; physician supervision/collaboration required for delegated injectables. Ownership and the medical-director requirement are usually two sides of the same compliance coin.
What to verify in North Dakota
Establish a clear collaboration or delegation agreement with a physician and document telehealth or in-person exam protocols.
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.