Start Your Saint John Office of Physicians: A Practical Guide
This page walks you through turning a dream into a compliant, thriving practice for Offices of Physicians (except Mental Health Specialists) in Saint John under NAICS 621111. You'll get a clear runway from licensing to opening, including the 10 requirements you must meet, the permits you'll need, typical startup costs, and a practical timeline.
Key things you'll learn include the exact 10 requirements you must satisfy, how to secure professional licensing, business registration, and tax numbers, what facility standards and equipment you need, and the permits and inspections to plan for. We'll also break down startup costs—from compliant space and medical equipment to insurance and licensing fees—and share a practical timeline from planning to first patient.
Saint John is a growing healthcare hub with a solid patient base and supportive local processes. The city offers affordable spaces, streamlined permits for medical offices, and a community of professionals to network with as you build your practice under NAICS 621111.
Requirements Overview
The most critical requirement for operating a medical office in Saint John, New Brunswick is the Physician Licence. This is legally required to practice medicine in NB and you cannot open or run the office without an active licence issued by the provincial medical regulator, the New Brunswick College of Physicians and Surgeons. Without this credential, you are not permitted to provide medical services, so securing and maintaining your physician licence is non-negotiable.
Beyond the licence, you’ll need to cover mandatory operational requirements related to health, safety, and permits. This includes obtaining a municipal business licence to operate locally, and, if your practice involves prescribing controlled substances, securing a Controlled Drugs and Substances Authorization. You’ll also need Employer coverage with New Brunswick WorkSafeNB to meet workplace safety and insurance obligations for you and any staff. Grouping these items helps ensure your day-to-day practice runs smoothly and compliantly from the start.
For business registration and taxes, you’ll handle identity, structure, and numbers needed for government accounts. Decide your business structure (partnership or NB corporation) and complete the corresponding registration with the provincial registry, then register for a Business Number (BN) with the Canada Revenue Agency to manage taxes and payroll. Plan for GST/HST registration if your revenue meets the threshold, and set up Payroll Deductions Registration for employee withholdings. The SNB registration for your business name may also be required depending on how you structure your entity.
You’re on the right track—take it step by step, and you’ll be ready to operate. Start by confirming your physician licence status and familiarizing yourself with the NB regulatory and municipal bodies, then line up your health, safety, and permit needs. Next, choose your business structure, secure your BN, and complete the necessary registrations. With a clear p
Detailed Requirements
Here are the specific requirements for starting a offices of physicians (except mental health specialists) in Saint John:
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Physician Licence RequiredLicence to practice medicine. Apply to Province of New Brunswick for Physician Licence: 1. Review eligibility requirements 2. Complete required training or education if applicable 3. Submit application with supporting documents 4. Pay application and licence fees 5. Await approval Contact Province of New Brunswick for current requirements and processing times. Annual renewal typically required.
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Business Licence RequiredGeneral business licence required to operate a business in City of Saint John. Apply to City of Saint John for Business Licence: 1. Determine business category 2. Complete business licence application 3. Submit required documents (ID, lease, zoning confirmation) 4. Pay application and annual fees 5. Await approval and receive licence Contact City of Saint John Business Licensing for specific requirements. Home-based businesses may have different requirements. Annual renewal required.
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Business Number (BN) Registration RequiredA 9-digit Business Number is required for most businesses operating in Canada. It is used to interact with the Canada Revenue Agency and other federal programs. Required for GST/HST, payroll, corporation income tax, and import/export accounts. Register FREE online through Business Registration Online (BRO) at canada.ca. Takes 15-30 minutes. As of November 3, 2025, online registration is MANDATORY for new BNs - phone registration no longer available. You'll need: business name, address, owner SIN, business type, and start date. BN (9-digit number) issued INSTANTLY online. Available 21 hours/day, 7 days/week (closed 3-6am ET for maintenance).
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Controlled Drugs and Substances Authorization RequiredHealthcare practitioners and facilities handling controlled substances (narcotics, benzodiazepines) must be authorized and licensed under federal regulations. Includes secure storage, record-keeping, and reporting requirements. Health Canada Controlled Drugs and Substances Act (CDSA) authorization. Dealer license for controlled substances. Pharmacies: provincial licensing. Hospitals: authorization. Narcotics: strict requirements. Monthly reporting. Security requirements. Contact Health Canada Controlled Substances: 1-866-358-0453.
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New Brunswick Business Name Registration (SNB) RequiredBusinesses in New Brunswick must register their business name with Service New Brunswick if operating under a name other than the owner's legal name. This applies to sole proprietorships, partnerships, and trade names. Registration provides legal recognition and is required for business operations and licensing. Registration can be completed online through SNB Online. Business name registrations for sole proprietorships and partnerships must be renewed every 5 years. To register a business name in New Brunswick: 1. Conduct name search ($13.80) 2. Complete registration through SNB Online 3. Pay $112 registration fee (includes Royal Gazette) 4. Receive certificate of business name 5. Renew every 5 years ($62) 6. Report any changes as required
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Partnership Registration ConditionalRequired for partnerships. Registration of partnerships. Register through Province of New Brunswick Corporate Registry or business services: 1. Conduct name search if applicable 2. Complete registration application 3. Submit required documents 4. Pay registration fees Contact Province of New Brunswick government services for specific requirements and fees. Annual reporting may be required.
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NB Corporation Registration ConditionalRequired if incorporating in New Brunswick. Incorporation under NB law. Register through Province of New Brunswick Corporate Registry or business services: 1. Conduct name search if applicable 2. Complete registration application 3. Submit required documents 4. Pay registration fees Contact Province of New Brunswick government services for specific requirements and fees. Annual reporting may be required.
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GST/HST Registration ConditionalRequired if annual taxable revenue exceeds $30,000 (small supplier threshold). Taxi/ride-share drivers must register regardless of revenue. Businesses with gross revenues over $30,000 in any single quarter or over four consecutive quarters must register for, collect, and remit GST/HST. Small suppliers (under $30,000) may register voluntarily. Register FREE online through Business Registration Online (BRO) when your revenue exceeds $30,000 in any 4 consecutive quarters (small supplier threshold). Takes 15-30 minutes. You MUST register within 29 days of exceeding threshold and start charging GST/HST immediately on the sale that made you exceed it. Need your BN (or get one simultaneously). As of Nov 3, 2025, online registration is mandatory. Voluntary registration available anytime for input tax credits.
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Payroll Deductions Registration ConditionalRequired if you pay salaries, wages, or other remuneration to employees. Must register before first pay period. Required if you have employees. You must withhold Canada Pension Plan (CPP), Employment Insurance (EI), and income tax from employee wages and remit to CRA. Register FREE online through Business Registration Online (BRO) when you hire your first employee. Takes 15-20 minutes. You'll need your Business Number (BN) or can get one simultaneously. Payroll account (RP) added to your BN instantly. Register BEFORE your first pay date. Required to deduct CPP, EI, and income tax from employee wages. For 2025: CPP rate 5.95%, EI employee rate $1.66/$100 insurable earnings.
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New Brunswick WorkSafeNB Employer Coverage ConditionalRequired if you have employees in New Brunswick. Employers in New Brunswick must register with WorkSafeNB (Workplace Health, Safety and Compensation Commission) and maintain coverage for workers. WorkSafeNB provides insurance coverage for workplace injuries and occupational diseases. Most employers are required to register, with limited exceptions. Registration must occur within 10 days of commencing business operations or hiring the first worker. Employers pay assessments based on their classification unit rate and assessable payroll. To register with WorkSafeNB: 1. Determine if you're in a mandatory industry with 3+ workers 2. Register with WorkSafeNB online or by phone 3. Report assessable payroll annually 4. Pay premiums based on industry rate ($1.18/100 avg 2024) 5. Maintain coverage and report workplace injuries 6. Experience rating affects rate (+80% to -40%)
Funding & Grants
Available funding programs that may apply to your offices of physicians (except mental health specialists):
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The HIPP provided up to $200,000 over 9 months for Stage 1 proof-of-concept, with Stage 2 covering up to 75% of eligible expenses over up to 3 years (minimum 25% applicant cost-share). Eligible applicants included Alberta post-secondary institutions, government entities, health delivery agents, and for-profit or not-for-profit organizations. The program …
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The Invest Ontario Fund (IOF) is administered by Invest Ontario, a provincial Crown corporation, to attract and retain strategic business investments in Ontario. The fund provides financial support of up to $4 million through a combination of grants and loans to companies undertaking significant investments in advanced manufacturing, life sciences, …
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The IDCCF addresses the impact of climate change on human health by funding projects that increase surveillance, research, and public awareness of climate-sensitive infectious diseases. Maximum $150,000 per year for projects up to 3 years in duration. Eligible applicants include not-for-profits, universities, Indigenous organizations, provincial/territorial/municipal governments. Federal departments and for-profit …
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SUAP provides contribution funding for a wide range of projects including substance use prevention, harm reduction, treatment, and recovery. Individual project awards have ranged from approximately $1.6 million to $6.3 million in recent announcements. Eligible recipients include not-for-profit health organizations, universities, Indigenous organizations, and other levels of government. For-profit organizations …
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CIHR Catalyst Grants are short-term seed grants (up to 1 year) designed as a first step toward larger, longer-term research projects. The Digital Health stream specifically targets early and mid-career researchers and Indigenous Health researchers working on digital health technologies. Application deadline: March 17, 2026. Total pool: $1,000,000 (approximately 10 …
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