The medical practice entity, state by state.
A practice is the most regulated entity a physician will ever own. Before the filing there is a question of form: some states allow a professional LLC for medicine, others send physicians to a professional corporation instead. Then come board approval, the all-physician ownership rule, malpractice insurance, HIPAA, and the federal rules on referrals and prescribing. Pick your state and take them in order.
Four things that sit between you and opening.
Forming the entity is one line in a much longer sequence. Two of these are decided by your state, and two are federal and effectively identical wherever you practice.
PLLC or professional corporation
Most states let a medical practice take the professional LLC form. Some do not, and physicians there form a professional corporation instead. It is the first question because everything downstream, the documents, the ownership rules and what the board expects, follows from the answer.
Who is allowed to hold it
In most states every member of a medical entity must be a licensed physician. That rules out silent investors, family members and management companies holding equity, and it shapes how partners are added later. Licenses also have to be current at the moment of formation, not merely obtainable soon after.
Approval before you open
The medical board sits inside the formation path rather than after it. In most states it has to approve the entity, and its requirements reach the name, the ownership and the documents you file with the state. Filing first and asking afterwards is how a practice ends up doing it twice.
What follows the filing
Malpractice insurance, HIPAA, the federal rules on referrals and kickbacks, DEA registration where controlled substances are prescribed, and ongoing reporting to the board. Little of it is optional, and unlike the entity form, most of it does not change at the state line.
The entity is the easy part. The approvals are the path.
Pick your state.
Each state page names the entity form open to physicians there, what the medical board requires before and after formation, and how the ownership rule is applied. The federal layer, HIPAA, referrals and prescribing, is covered the same way on every page.
A clean handoff, in four steps.
Order matters more here than anywhere else in business formation. Verify, form, get approved, then build the compliance stack. Done out of sequence, most of it has to be done again.
Verify form and licenses
Confirm which entity type your state opens to a medical practice, and that every intended owner holds a current license. Both answers change what is filed and what the board will want to see.
File the entity
The professional LLC or professional corporation is filed with the state, with the name, the ownership and the stated purpose set out the way the statute and the board expect them.
Clear the board
Medical board approval is obtained on its own timetable, and malpractice insurance is placed alongside it so the two run in parallel rather than one waiting on the other.
Stand up compliance
HIPAA, the referral and kickback rules, DEA registration for controlled substances, and the reporting the board expects from then on. This is the part that continues indefinitely.
A practice is a business inside a license. Both have to stay current.
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The questions physicians ask before they file.
Can a medical practice be an LLC?
In many states, yes, but as a professional LLC rather than an ordinary one. Some states do not permit medical practices to use the LLC form at all and require a professional corporation instead. It is a state-level answer with no national version, and it is the first thing your state page settles, because the documents and the ownership rules all follow from it.
Who is allowed to own the entity?
In most states, licensed physicians and nobody else. The all-physician membership rule means outside investors, non-clinical partners and management companies cannot hold membership interests, however the practice is financed or administered day to day. It also means adding an owner later is a licensing question before it is a business one. The rule as your state applies it is on its page.
Does the medical board have to approve the entity?
In most states the board's approval is part of the formation path rather than a follow-up to it. It can reach the entity's name, its ownership and the documents filed with the state, which is why the board's requirements are worth reading before anything is submitted rather than after a rejection. Where a state handles this differently, its page says so.
What is the difference between a PLLC and a PC?
Both are professional entities restricted to licensed practitioners, and which one is open to physicians is decided by state law rather than by preference. The practical difference is the machinery: a corporation runs on bylaws, a board, resolutions and shares, while an LLC runs on an operating agreement and membership interests. The clinical obligations sitting on top are the same either way.
Does the entity replace malpractice insurance?
No. The entity limits business liability. It does not answer a claim about clinical care, and it does not shield a physician's own negligence, which is exactly what malpractice cover exists for. That is why insurance sits inside the formation steps on every state page rather than in a list of things to arrange once the practice is already seeing patients.
What compliance work continues after opening?
HIPAA for patient information, the federal rules on referrals and kickbacks, DEA registration where controlled substances are prescribed, and the ongoing reporting the state board requires. Renewals sit on top of all of it: physician licenses, the DEA registration, the malpractice policy and the entity's own state filings, each on its own cycle and none of them synchronized.
Keep going, in order.
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